Holly K Hale, PH.D. LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014386 Issued in MI

Practice address

888 W Big Beaver Rd Ste 780
Troy, MI 48084-4745

Phone

(313) 466-4907

NPI assigned

Jul 12, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kathryn Miller PHD PCGroup PAC ID 0042289274, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Kathryn Miller PHD PC

  • Clinical Psychologist
  • Dearborn, MI
  • NPI 1467664813
  Medicare reassignment Care Compare group NPD
• Turn the Corner Counseling PLLC

  • Clinical Psychologist
  • Troy, MI
  • NPI 1396455986
  NPD Authorized official

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1144585308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 W BIG BEAVER RD STE 780",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844745",
            "telephone_number": "313-466-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 W BIG BEAVER RD STE 780",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844745",
            "telephone_number": "313-466-4907"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19855 Outer Dr",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481242022",
            "country_code": "US",
            "telephone_number": "313-359-1977",
            "fax_number": "313-730-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "HOLLY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PH.D. LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-12",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdul Hagroo
• Lauren Anne Hahn, LMFT
• Petra Hajouj
• Amanda Venettis Haladik, DO
• Halcyon Therapeutics PLLC
• Diamond Hall-Holloway, LLBSW
• Bethany S Hall, NP-C
• Brittney Anne Hall, OTR/L
• Haley J Hall
• Keith R Hall, MA, LLMSW

• Clinical Psychologist in Troy, MI
• Providers in Troy, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.