DR. MICHAEL JOHN KUTTNER (NPI# 1538195987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538195987 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JOHN KUTTNER |
| Credential | PH.D |
| Practice Address |
990 South Ave Suite 210 Rochester NY 14620-2740 |
| Mailing Address |
448 White Spruce Blvd Rochester NY 14623-1608 |
| Practice Telephone | 5852563440 |
| Mailing Telephone | 5852563440 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2016-04-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
009564 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | PREFERRED CARE | 100295AH | 01 |
| NY | US DEPT OF LABOR | 111980500 | 01 |
| NY | BLUE CHOICE | P010009564 | 01 |
| BLUE X/BLUE SHIELD | P010009564 | 01 |
| Street Address |
990 SOUTH AVE SUITE 210 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063489839 | Roger M Olander | Obstetrics & Gynecology | 990 South Ave, Suite 104a, Rochester, NY 14620 | 2006-03-01 |
| 1861836652 | Highland's Women's Health | Obstetrics & Gynecology | 990 South Ave, Suite 103, Rochester, NY 14620-2763 | 2013-04-23 |
| 1033408810 | Katina Marie Foster | Obstetrics & Gynecology | 990 South Ave, Suite 104, Rochester, NY 14620-2740 | 2011-04-01 |
| 1730405887 | Brittany Marie Paivanas | Obstetrics & Gynecology | 990 South Ave, Suite 103, Rochester, NY 14620-2763 | 2010-04-14 |
| 1386968006 | Daniel Blakely King | Internal Medicine | 990 South Ave, Suite 207, Rochester, NY 14620-2763 | 2010-03-24 |
| 1295993368 | Stephen L. Kates, Md, PC | Orthopaedic Surgery | 990 South Ave, Suite 010, Rochester, NY 14620-2763 | 2008-05-27 |
| 1194917336 | Marion E. Olander | Physician Assistant | 990 South Ave, Rochester, NY 14620-2763 | 2007-08-13 |
| 1164623849 | Roan Jamison Glocker | Surgery | 990 South Ave, Ste 210, Rochester, NY 14620-2763 | 2007-05-30 |
| 1336359777 | Amanda J Victory | Obstetrics & Gynecology | 990 South Ave, Suite 104, Rochester, NY 14620-2763 | 2007-05-23 |
| 1184764524 | Southeast Obstetrics & Gynecology PC | Obstetrics & Gynecology | 990 South Ave, Suite 104, Rochester, NY 14620-2740 | 2007-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346883873 | Denise Pine | Psychologist | 1111 Elmwood Ave # D3, Rochester, NY 14620-3005 | 2019-10-28 |
| 1205305729 | Christopher Corona | Psychologist | 100 Linden Oaks, Suite 102, Rochester, NY 14625 | 2018-11-14 |
| 1275017550 | Leah Rothschild | Psychologist | 160 Allens Creek Rd Ste 160, Rochester, NY 14618-3312 | 2018-09-21 |
| 1639658693 | Garry Linsis Spink Jr. | Psychologist | 100 Pinewild Dr Fl 2, Rochester, NY 14606-4200 | 2018-08-10 |
| 1942798129 | Rachel Marie Rodorigo | Psychologist | 900 W University Dr Ste B3, Rochester, MI 48307-1817 | 2018-04-24 |
| 1740799162 | Douglas Andrew Raynor | Psychologist | 919 Winton Rd S Ste 106, Rochester, NY 14618-1633 | 2017-09-28 |
| 1356861884 | Lauren P Wadsworth | Psychologist | 21 Goodway Dr, Rochester, NY 14623-3029 | 2017-06-26 |
| 1881120947 | Dayton Walsh | Psychologist | 190 Goodman St S, Rochester, NY 14607-2651 | 2017-05-11 |
| 1770019713 | Brenna Cavanaugh | Psychologist | 200 East River Rd., Rochester, NY 14623 | 2017-05-11 |
| 1275068470 | Tara Marie Augenstein | Psychologist | University of Rochester, Dept. of Psychiatry, 300 Crittenden Blvd, Rochester, NY 14642 | 2017-04-25 |
| Find all providers in ROCHESTER | ||||
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| 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.