Organization Active NPI

Rebecca Hatton, PSYD, Licensed Psychologist

  • Adult Mental Health Clinic/Center
  • Ann Arbor, MI
National Provider Identifier
1043590896
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
6301012318 Issued in MI
Legal business name
REBECCA HATTON, PSYD, LICENSED PSYCHOLOGIST
Practice address
202 E Washington St
Suite 400B
Ann Arbor, MI 48104-2017
Phone
(734) 709-2183
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Dr. Rebecca Hatton, PSYD, LPNPI 1689706079
Title
Licensed Psychologist
Phone
(734) 709-2183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 6301012318 MI Primary

Addresses

Primary practice location

202 E Washington St
Suite 400B
Ann Arbor, MI 48104-2017

Mailing address

2035 Suffolk St
Ann Arbor, MI 48103-5049
Phone (734) 709-2183

Other identifiers 1

IdentifierTypeStateIssuer
1689706079OtherMITYPE 1 NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120220000431 MI Part B Supplier - Clinic/Group Practice 2163680364 Receives reassigned benefits from 1 practitioner
Practice locations: Ann Arbor, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1043590896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 SUFFOLK ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035049",
            "telephone_number": "734-709-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E WASHINGTON ST",
            "address_2": "SUITE 400B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042017",
            "telephone_number": "734-709-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA HATTON, PSYD, LICENSED PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "HATTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "734-709-2183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": "6301012318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1689706079",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.