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AMANDEEP JUTLA M.D.
NPI 1215295167
Psychiatry & Neurology - Child & Adolescent Psychiatry in New York, NY

Active since April 29, 2012PECOS Enrolled
1051 RIVERSIDE DR UNIT 74, NEW YORK, NY 10032(323) 347-1096 Get Directions Write a Review

NPPES record last updated: November 8, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amandeep Jutla M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDEEP JUTLA M.D. (NPI 1215295167) is an individual child & adolescent psychiatry provider in New York, New York, licensed in New York (295946) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1215295167
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NameAMANDEEP JUTLACredential: M.D.
Location Address1051 RIVERSIDE DR UNIT 74New York, NY 10032-1007
Mailing Address1051 Riverside Dr Unit 74New York, NY 10032-1007 · (323) 347-1096
Phone(323) 347-1096
Sole ProprietorYes
Enumeration DateApril 29, 2012
Last NPPES UpdateNovember 8, 2018
✔ NPI 1215295167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 295946
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License A129984 (CA)
1051 RIVERSIDE DR UNIT 74, New York, NY 10032
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Secondary Practice Location 1

Location 1760 Westwood PlzLos Angeles, CA 90024-5055 · Phone (323) 347-1096

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amandeep Jutla M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JENNIFER ELAINE JONES PH.D.
Psychologist (Clinical)
1051 RIVERSIDE DR UNIT 74
NEW YORK, NY 10032
New York County (212) 543-6911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amandeep Jutla's NPI number?

The NPI number for Amandeep Jutla is 1215295167. It was assigned to this individual provider in the NPPES registry on April 29, 2012.

Where is Amandeep Jutla located?

Amandeep Jutla practices at 1051 Riverside Dr Unit 74, New York, NY 10032. The listed phone number is (323) 347-1096.

What is Amandeep Jutla's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Amandeep Jutla enrolled in Medicare?

Yes. Amandeep Jutla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amandeep Jutla was last updated on November 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.