Active NPI
Charles M Cutler, PH.D.
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1972682391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1754
- Practice address
- 16265 Mesto CT
San Diego, CA 92128-3114 - Phone
- (858) 521-9382
- NPI assigned
- Nov 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1754 | MN | Primary |
Addresses
Primary practice location
16265 Mesto CT
San Diego, CA 92128-3114
Mailing address
16265 Mesto CT
San Diego, CA 92128-3114
Phone (858) 521-9382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 15, 2022 through Oct 15, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1972682391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16265 MESTO CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283114",
"telephone_number": "858-521-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16265 MESTO CT",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921283114",
"telephone_number": "858-521-9382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUTLER",
"first_name": "CHARLES",
"middle_name": "M",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-05",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "1754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.