Individual provider Active NPI

Robert K Hull, PSY.D.

  • Clinical Psychologist
  • Calipatria, CA
National Provider Identifier
1033545298
Registry record updated Nov 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
25780 Issued in CA
Practice address
7018 Blair Rd
Calipatria, CA 92233-9633
Phone
(760) 337-7900
NPI assigned
Sep 19, 2013
Last updated
Nov 26, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 26, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 25780 CA Primary

Addresses

Primary practice location

7018 Blair Rd
Calipatria, CA 92233-9633

Mailing address

7018 Blair Rd
Calipatria, CA 92233-9633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230525001240 CA Practitioner - Clinical Psychologist 8921464462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David Desai MD IncGroup PAC ID 6204148794, 9 clinicians

Practice addresses (Care Compare)

2131 Elks Dr
Suite 104
San Bernardino, CA 92404-5571
Phone (909) 966-5500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David Desai MD Inc CurrentSince May 1, 2023 Accepting new patients

Locations

2131 Elks Dr
Ste 104
Sn Bernrdno, CA 92404
Phone (909) 882-1211

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416960000000",
    "number": "1033545298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7018 BLAIR RD",
            "city": "CALIPATRIA",
            "state": "CA",
            "postal_code": "922339633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7018 BLAIR RD",
            "city": "CALIPATRIA",
            "state": "CA",
            "postal_code": "922339633",
            "telephone_number": "760-337-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "ROBERT",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2014-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calipatria, CA

Sources for this page

Verify at the official NPI Registry.