Individual provider Active NPI

Kathryn T Huls, PSY.D.

  • Clinical Psychologist
  • Hobart, IN
National Provider Identifier
1083647168
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040963A Issued in IN
Practice address
8091 Randolph St
Hobart, IN 46342-7068
Phone
(219) 940-3645
NPI assigned
Jul 9, 2006
Last updated
Sep 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301010809 MI
School Psychologist 103TS0200X 914179 IN
Clinical Psychologist 103TC0700X 20040963A IN Primary
Clinical Psychologist 103TC0700X 20040963 IN

Addresses

Primary practice location

8091 Randolph St
Hobart, IN 46342-7068

Mailing address

1608 Lincolnway Ste G
Valparaiso, IN 46383-5852
Phone (773) 935-4700

Other practice location 1

8200 Georgia St
Merrillville, IN 46410-6227
Phone (219) 791-1400

Other practice location 2

10215 Broadway
Crown Point, IN 46307-8001
Phone (219) 793-3158

Other identifiers 1

IdentifierTypeStateIssuer
200185670MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200916000195 IN Practitioner - Psychologist Billing Independently 8527486034 Reassigns benefits to 1 organization
Practice locations: Crown Point, IN
I20201113000190 IN Practitioner - Clinical Psychologist 8527486034 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301010809MIMDClinical Psychologist
914179INMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovations in Learning, PC Clinical CurrentSince Oct 14, 2020 Accepting new patients

Locations

8091 Randolph St
Hobart, IN 46342
Phone (219) 791-1400

8200 Georgia St
Merrillville, IN 46410
Phone (219) 791-1400

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1083647168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 LINCOLNWAY STE G",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835852",
            "telephone_number": "773-935-4700",
            "fax_number": "773-935-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8091 RANDOLPH ST",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463427068",
            "telephone_number": "219-940-3645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 Georgia St",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106227",
            "country_code": "US",
            "telephone_number": "219-791-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10215 Broadway",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463078001",
            "country_code": "US",
            "telephone_number": "219-793-3158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULS",
        "first_name": "KATHRYN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010809",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "914179",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040963A",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20040963",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200185670",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.