Active NPI
David Morris Hall, PSY.D.
- Psychologist
- Faribault, MN
National Provider Identifier
1184951741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5162
- Practice address
- 303 1St Ave NE
Faribault, MN 55021-5268 - Phone
- (507) 333-5044
- NPI assigned
- Nov 3, 2009
- Last updated
- Nov 3, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5162 | MN | Primary |
Addresses
Primary practice location
303 1St Ave NE
Faribault, MN 55021-5268
Mailing address
303 1St Ave NE
Faribault, MN 55021-5268
Phone (507) 333-5044
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5162 | MN | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257206400000",
"number": "1184951741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 1ST AVE NE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550215268",
"telephone_number": "507-333-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 1ST AVE NE",
"city": "FARIBAULT",
"state": "MN",
"postal_code": "550215268",
"telephone_number": "507-333-5044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "DAVID",
"middle_name": "MORRIS",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-03",
"last_updated": "2009-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MN",
"license": "5162",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Faribault, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.