Active NPI
Ryan J Hulbert, PHD
- Psychologist
- Meridian, ID
National Provider Identifier
1053689356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-282
- Practice address
- 2273 E Gala St
Suite 100
Meridian, ID 83642-7289 - Phone
- (208) 898-8999
- NPI assigned
- Dec 1, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-282 | ID | Primary |
| Clinical Psychologist | 103TC0700X | PSY-282 | ID | |
| Counseling Psychologist | 103TC1900X | PSY-282 | ID |
Addresses
Primary practice location
2273 E Gala St
Suite 100
Meridian, ID 83642-7289
Mailing address
24108 Ten Davis Rd
Parma, ID 83660-7212
Phone (208) 722-5033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-282 | ID | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Psychological Services, PLLC | Psychologist | Past | Accepting new patients |
| Scott P. Hoopes, M.D., P.a. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Meridian, ID
- NPI 1861759854
-
- Psychiatry Physician
- Meridian, ID
- NPI 1891816823
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1053689356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24108 TEN DAVIS RD",
"city": "PARMA",
"state": "ID",
"postal_code": "836607212",
"telephone_number": "208-722-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2273 E GALA ST",
"address_2": "SUITE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836427289",
"telephone_number": "208-898-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULBERT",
"first_name": "RYAN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-12-01",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "ID",
"license": "PSY-282",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "PSY-282",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "ID",
"license": "PSY-282",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.