Individual provider Active NPI

Harry B Hull, MA LLP

  • Psychologist
  • Grosse Pointe Park, MI
National Provider Identifier
1407111727
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301002890 Issued in MI
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6301002890MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hull Behavioral Health LLC Psychologist CurrentSince Jan 16, 2021 Accepting new patients
Sollars and Associates Psychologist PastSince Feb 14, 2015 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.

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

Verify at the official NPI Registry.