Active NPI
Susan H Hull, PHD
- Clinical Psychologist
- Bandera, TX
National Provider Identifier
1174516884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- TX22945
- Practice address
- 935 Rikki Dr
Bandera, TX 78003-5925 - Phone
- (210) 872-1713
- Fax
- (210) 492-6418
- NPI assigned
- Aug 27, 2005
- Last updated
- Apr 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | TX22945 | TX | Primary |
Addresses
Primary practice location
935 Rikki Dr
Bandera, TX 78003-5925
Mailing address
PO Box 3661
Bandera, TX 78003-6661
Phone (210) 872-1713
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 |
|---|---|---|---|
| TX22945 | TX | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1174516884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3661",
"city": "BANDERA",
"state": "TX",
"postal_code": "780036661",
"telephone_number": "210-872-1713",
"fax_number": "210-492-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "935 RIKKI DR",
"city": "BANDERA",
"state": "TX",
"postal_code": "780035925",
"telephone_number": "210-872-1713",
"fax_number": "210-492-6418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "SUSAN",
"middle_name": "H",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-08-27",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "TX22945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bandera, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.