Active NPI
Harry B Hull, MA LLP
- Psychologist
- Grosse Pointe Park, MI
National Provider Identifier
1407111727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301002890
- Practice address
- 16824 Kercheval Ave Ste 215
Grosse Pointe Park, MI 48230-1563 - Phone
- (313) 215-0385
- NPI assigned
- Jul 12, 2012
- Last updated
- May 4, 2020
- 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 | 6301002890 | MI | Primary |
Addresses
Primary practice location
16824 Kercheval Ave Ste 215
Grosse Pointe Park, MI 48230-1563
Mailing address
1012 Somerset Ave
Grosse Pointe Park, MI 48230-1334
Phone (313) 215-0385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301002890 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hull Behavioral Health LLC | Psychologist | Current | Accepting new patients |
| Sollars and Associates | Psychologist | Past | Accepting new patients |
Locations
15224 Kercheval Ave
Grosse Pointe Park, MI 48230
Phone (313) 215-0385
16824 Kercheval Ave
Ste 215
Grosse Pointe Park, MI 48230
Phone (313) 215-0385
Organizations & group practices 2
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.
-
- Psychologist
- Grosse Pointe Park, MI
- NPI 1346881638
-
- Psychologist
- Sterling Heights, MI
- NPI 1538482187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588550400000",
"number": "1407111727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1012 SOMERSET AVE",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301334",
"telephone_number": "313-215-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16824 KERCHEVAL AVE STE 215",
"city": "GROSSE POINTE PARK",
"state": "MI",
"postal_code": "482301563",
"telephone_number": "313-215-0385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "HARRY",
"middle_name": "B",
"credential": "MA LLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-12",
"last_updated": "2020-05-04",
"certification_date": "2020-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301002890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grosse Pointe Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.