Active NPI
Kathryn T Huls, PSY.D.
- Clinical Psychologist
- Hobart, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040963A
- Practice address
- 8091 Randolph St
Hobart, IN 46342-7068 - Phone
- (219) 940-3645
- NPI assigned
- Jul 9, 2006
- Last updated
- Sep 24, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200185670 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301010809 | MI | MD | Clinical Psychologist |
| 914179 | IN | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovations in Learning, PC | Clinical | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.