Individual provider Active NPI

Kathi Ann Hull, M.A.

  • Clinical Psychologist
  • East Lansing, MI
National Provider Identifier
1316069438
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301005494 Issued in MI
Practice address
2911 Eyde Pkwy
Suite 100
East Lansing, MI 48823-5381
Phone
(517) 333-7733
Fax
(517) 333-7733
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301005494 MI Primary

Addresses

Primary practice location

2911 Eyde Pkwy
Suite 100
East Lansing, MI 48823-5381

Mailing address

2911 Eyde Parkway
Suite 100
East Lansing, MI 48823-5381
Phone (517) 333-7733

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301005494MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316069438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 EYDE PARKWAY",
            "address_2": "SUITE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235381",
            "telephone_number": "517-333-7733",
            "fax_number": "517-333-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 EYDE PKWY",
            "address_2": "SUITE 100",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235381",
            "telephone_number": "517-333-7733",
            "fax_number": "517-333-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "KATHI",
        "middle_name": "ANN",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301005494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.