Rudolph Clinton Hatfield, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

6301011637 Issued in MI

Practice address

515 N Michigan Ave RM 3041
Saginaw, MI 48602-4316

Phone

(248) 345-3090

Fax

(989) 583-2843

NPI assigned

Dec 22, 2005

Last updated

Jan 3, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Karen Gallagher LMSW Acsw Professional Counseling SRVS LLCGroup PAC ID 4183781297, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC

  • Clinical Social Worker
  • Okemos, MI
  • NPI 1578717245
  Medicare reassignment Care Compare group NPD
• Tri-City Treatment Center LLC

  • Medical Specialty Clinic/Center
  • Saginaw, MI
  • NPI 1205484052

  Cognitive & Behavioral

  Medicare reassignment NPD
• R Hatfield Psychology LLC

  • Rehabilitation Hospital
  • Saginaw, MI
  • NPI 1215009535
  NPD (past) Authorized official
• Dailey Life, Inc.

  • Marriage & Family Therapist
  • Flint, MI
  • NPI 1528095346
  NPD (past)
• Jose Mari G Jurado MD PC

  • Physical Medicine & Rehabilitation Physician
  • Saginaw, MI
  • NPI 1669567392
  NPD (past)

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199318400000",
    "number": "1235115171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N MICHIGAN AVE RM 3041",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024316",
            "telephone_number": "248-345-3090",
            "fax_number": "989-583-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MICHIGAN AVE RM 3041",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024316",
            "telephone_number": "248-345-3090",
            "fax_number": "989-583-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "RUDOLPH",
        "middle_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301011637",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "MI",
            "license": "6301011637",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "63010111637",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Hasse, FNP-C
• Cody Hatchett
• Sophia Lynn Hatchett
• Laura Lynn Hatfield-Smith
• Haley Lauren Hatfield
• Sarah Hathaway
• Jennifer Hauch, CCAR
• James Brian Haufe
• Sandra Haughton, LLP
• Chloe Hauk

• Clinical Neuropsychologist in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Clinical Neuropsychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.