DR. ALEX J. SCHUT (NPI# 1104832732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104832732 |
| Entity Type | Individual |
| Full Name | DR. ALEX J. SCHUT |
| Credential | PH.D. |
| Practice Address |
307 S 13th St Mount Vernon WA 98274-4100 |
| Mailing Address |
1660 S Columbian Way Seattle WA 98108-1532 |
| Practice Telephone | 3608488500 |
| Mailing Telephone | 3608488500 |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2015-02-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 8163 | MA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
60016354 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS/BLUE SHIELD | W06264 | 01 |
| Street Address |
307 S 13TH ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-4100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922076173 | Mehrdad Jafari | Internal Medicine | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 | 2006-03-12 |
| 1457716995 | Anna Catherine Cairns | Nurse Practitioner | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 | 2015-12-29 |
| 1689052730 | Michael Daniel Earley | Psychologist | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2015-05-09 |
| 1821401696 | Sujatha Nilavar | Family Medicine | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2014-06-09 |
| 1023428075 | Robin Dembeck | Audiologist | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2014-04-29 |
| 1538435615 | Western Washington Cardiology Trust | Internal Medicine | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 | 2012-03-22 |
| 1366715708 | Laurie V Rechholtz | Registered Nurse | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2012-02-15 |
| 1265724256 | Denise Dianne Johnson | Pharmacist | 307 S 13th St, Suite 100, Mount Vernon, WA 98274-4100 | 2011-05-09 |
| 1598071888 | Kari K Ranum | Nurse Practitioner | 307 S 13th St, Suite 300, Mount Vernon, WA 98274-4100 | 2010-08-24 |
| 1265747380 | Evelyn Larsen | Social Worker | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2010-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649507963 | Silverio Arenas | Psychologist | 4716 Monte Vista Pl # 360, Mount Vernonn, Mount Vernon, WA 98273-8982 | 2009-11-06 |
| 1790982106 | Kevin W Louderback | Psychologist | 918 Sunshine Dr, Mount Vernon, MO 65712-1735 | 2007-06-29 |
| 1245445139 | Kenneth Cass Elliott | Psychologist | 15 Bowen Mt Rd, Mount Vernon, ME 04352-3110 | 2007-05-14 |
| 1962566786 | Jennifer Finstad Clarke | Psychologist | 406 S 1st St Ste 300, Mount Vernon, WA 98273-3897 | 2006-12-20 |
| 1639239361 | Michele R Renchner | Psychologist | 22 Alameda Pl, Mount Vernon, NY 10552-1201 | 2006-12-11 |
| 1861568354 | Rakefet Richmond | Psychologist | 1103 Cleveland Avenue, Mount Vernon, WA 98273 | 2006-11-27 |
| 1003860776 | Christopher Nelson | Psychologist | 2120 E Division St, Mount Vernon, WA 98274-4639 | 2006-05-19 |
| 1053875252 | Jennifer Gwendolyn Benson | Psychologist | 307 S 13th St Ste 200, Mount Vernon, WA 98274-4100 | 2019-01-22 |
| 1922544477 | Michelle Grennan | Psychologist | 765 Gramatan Ave, Mount Vernon, NY 10552-1043 | 2017-01-09 |
| 1689052730 | Michael Daniel Earley | Psychologist | 307 S 13th St, Suite 200, Mount Vernon, WA 98274-4100 | 2015-05-09 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
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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.