Individual provider Active NPI

Angela Hille, PH.D.

  • Clinical Psychologist
  • Spokane, WA
National Provider Identifier
1386064756
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LH 60334943 Issued in WA
Practice address
101 W Cataldo Ave Ste 210
Spokane, WA 99201-3200
Phone
(509) 292-6629
NPI assigned
Apr 23, 2014
Last updated
Oct 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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 LH 60334943 WA Primary

Addresses

Primary practice location

101 W Cataldo Ave Ste 210
Spokane, WA 99201-3200

Mailing address

101 W Cataldo Ave Ste 210
Spokane, WA 99201-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20180709001181 WA Practitioner - Clinical Psychologist 4688920515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mastermind Psychology PSGroup PAC ID 3072935246, 2 clinicians

Practice addresses (Care Compare)

101 W Cataldo Ave
Suite 210
Spokane, WA 99201-3200
Phone (509) 474-1783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LH 60334943WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mastermind Psychology, P.S. CurrentSince Mar 3, 2020 Accepting new patients

Locations

101 W Cataldo Ave
Ste 210
Spokane, WA 99201
Phone (509) 292-6629

101 W Cataldo Ave
Ste 300
Spokane, WA 99201
Phone (509) 326-7311

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1398211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1386064756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W CATALDO AVE STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W CATALDO AVE STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992013200",
            "telephone_number": "509-292-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLE",
        "first_name": "ANGELA",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-23",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "LH 60334943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.