Active NPI
Dena Hulbert, PH.D.
- Clinical Psychologist
- Irvine, CA
National Provider Identifier
1487132155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSB94021558
- Practice address
- 15615 Alton Pkwy Ste 230
Irvine, CA 92618-7306 - Phone
- (949) 528-6300
- Fax
- (855) 779-3627
- NPI assigned
- Aug 3, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSB94021558 | CA | Primary |
Addresses
Primary practice location
15615 Alton Pkwy Ste 230
Irvine, CA 92618-7306
Mailing address
15615 Alton Pkwy Ste 230
Irvine, CA 92618-7306
Phone (949) 528-6300
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSB94021558 | CA | MD | Clinical Psychologist |
| 30276 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533254400000",
"number": "1487132155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15615 ALTON PKWY STE 230",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187306",
"telephone_number": "949-528-6300",
"fax_number": "855-779-3627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15615 ALTON PKWY STE 230",
"city": "IRVINE",
"state": "CA",
"postal_code": "926187306",
"telephone_number": "949-528-6300",
"fax_number": "855-779-3627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULBERT",
"first_name": "DENA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-03",
"last_updated": "2018-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSB94021558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.