MR. MICHAEL J LUTTRELL (NPI# 1396719209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396719209 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL J LUTTRELL |
| Credential | LICENSED PSYCHOLOGIS |
| Practice Address |
9 N 4th Ave Marshalltown IA 50158-1836 |
| Mailing Address |
508 Brentwood Rd Marshalltown IA 50158-3726 |
| Practice Telephone | 6417521585 |
| Practice Fax Number | 6417529665 |
| Mailing Telephone | 6417520125 |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
00420 | IA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | HEALTH ALLIANCE | 037093 | 01 |
| IA | 0058230 | 05 | |
| IA | BCBS | 05823 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881068781 | Michael Luttrell | Nurse Practitioner | 680 Ala Moana Blvd Apt 413, Honolulu, HI 96813-5411 | 2015-11-16 |
| 1851531800 | Michael S Luttrell | Nurse Practitioner | 101 Professional Park Ste A, Oxford, NC 27565-2580 | 2009-03-04 |
| Street Address |
9 N 4TH AVE |
| City | MARSHALLTOWN |
| State | IA |
| Zip Code | 50158-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437123304 | Kevin Anthony Duncan | Counselor | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2006-02-15 |
| 1811596125 | Sarah Rose High | Counselor | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2020-10-19 |
| 1447868286 | Tyler Determann | Counselor | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2020-07-17 |
| 1568016509 | Carlos Celis | Counselor | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2019-07-29 |
| 1205496460 | James Khile | Marriage & Family Therapist | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2019-06-19 |
| 1407419385 | Christopher S Bates | Counselor | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2019-04-17 |
| 1528526092 | Abby Anne Shannon | Counselor | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2019-03-04 |
| 1518458405 | Katherine Audra Neeson | Counselor | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2018-05-25 |
| 1629565387 | Nakomis Maher | Social Worker | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2018-04-18 |
| 1841792785 | Mark Danner Smith | Counselor | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2018-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386122455 | The Willows of Marshalltown LLC | Assisted Living Facility | 2315 Campbell Drive, Marshalltown, IA 50158 | 2018-08-01 |
| 1649654922 | Jennifer Marie Sitter | Physical Therapist | 55 Central Iowa Drive, Suite 70, Marshalltown, IA 50158 | 2015-07-16 |
| 1447685664 | Tara Lea Rathjen | Counselor | 2501 S Center Street, Suite M, Marshalltown, IA 50158 | 2013-09-06 |
| 1619232766 | Katie Elizabeth Mennenga | Hearing Instrument Specialist | 309 East Church Street, Marshalltown, IA 50158 | 2012-07-05 |
| 1043419070 | Iowa Veterans Home | Pharmacist | 1301 Summit Street, Marshalltown, IA 50158 | 2007-07-11 |
| 1710183637 | Leah A. Bethel | Emergency Medicine | 3 South 4th Ave, Mcfarland Clinic, PC, Marshalltown, IA 50158 | 2007-06-26 |
| 1902018179 | Daryl M. Lorell | Speech-Language Pathologist | 1902 South Center Street, Marshalltown, IA 50158 | 2007-05-03 |
| 1609934157 | Substance Abuse Treatment Unit of Central Iowa | Substance Abuse Rehabilitation Facility | 9 North 4th Avenue, Marshalltown, IA 50158 | 2006-12-05 |
| 1245319540 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 3109 S Center St # 102, Marshalltown, IA 50158 | 2006-11-06 |
| 1679669832 | Erin Voyles Hatcher | Nurse Practitioner | 9 North 4th Ave, Marshalltown, IA 50158 | 2006-10-05 |
| Find all providers in zip 50158 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104166487 | David Anthony Reedy | Psychologist | 30 W Main St, Suite 102, Marshalltown, IA 50158-4917 | 2013-02-22 |
| 1942251160 | Center Associates | Psychologist | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2006-05-12 |
| 1114991965 | Luke Robert Hansen | Psychologist | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2006-02-16 |
| 1215901202 | John Michael Bergman | Psychologist | 9 N 4th Ave, Marshalltown, IA 50158-1836 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023137908 | Gregory Wayne Schrimsher | Psychologist | 3600 30th St Rm 2750, Des Moines, IA 50310-5753 | 2007-03-29 |
| 1659431153 | Gerald Thomas Jorgensen | Psychologist | 1229 Mount Loretta Ave, Dubuque, IA 52003-7826 | 2006-12-12 |
| 1346277829 | John Eustis Williams | Psychologist | 1310 Solar Dr, Waterloo, IA 50701-2463 | 2006-06-28 |
| 1801228689 | Ann Monet Latham | Psychologist | 2500 82nd Pl, Urbandale, IA 50322-4329 | 2013-08-05 |
| 1255596599 | Malinda Allen | Psychologist | 200 Hawkins Dr, University of Iowa Health Care, Iowa City, IA 52242-1009 | 2008-07-25 |
| 1922183078 | Emily Warnes | Psychologist | 605 E Jefferson St, Iowa City, IA 52245-2426 | 2006-10-26 |
| 1306949896 | Innovative Psychiatric Care PC | Psychologist | 3900 Ingersoll Ave, Suite 108, Des Moines, IA 50312-3534 | 2006-09-07 |
| 1730197492 | North Iowa Mercy Clinics | Psychologist | 1000 4th St Sw, Mason City, IA 50401-2800 | 2006-08-04 |
| 1851307946 | Timothy E Wahl | Psychologist | 1229 C Ave E, #300, Oskaloosa, IA 52577-4246 | 2006-07-31 |
| 1922045244 | Naomi Beth Mccormick | Psychologist | 2717 Minnetonka Dr, Clinical Health Psychologists, Plc, Cedar Falls, IA 50613-1531 | 2006-06-02 |
| Find all providers with the same taxonomy | ||||
| City | MARSHALLTOWN |
| Zip Code | 50158 |
Please comment or provide details below to improve the information on MR. MICHAEL J LUTTRELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.