Richard W. Hurlbut

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

881 Issued in WI

Legal business name

RICHARD W. HURLBUT

Doing business as

Mid Wisconsin Psychotherapy Associates

Practice address

100 Bremmer St
Stevens Point, WI 54481-6032

Phone

(715) 344-2016

Fax

(715) 344-1715

NPI assigned

Jun 1, 2006

Reactivated

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Richard W. Hurlbut, PH.D.

Title

Psychologist/Owner

Phone

(715) 344-2016

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mid Wisconsin Psychotherapy Associates Doing business as

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1487691341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BREMMER ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816032",
            "telephone_number": "715-344-2016",
            "fax_number": "715-344-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BREMMER ST",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816032",
            "telephone_number": "715-344-2016",
            "fax_number": "715-344-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD W. HURLBUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-08-30",
        "deactivation_date": "2008-10-07",
        "reactivation_date": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "HURLBUT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "715-344-2016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39024400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Wisconsin Psychotherapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brock Ryan David Reichardt, ATC, LAT
• Marie L Reince, PTA
• Michelle Retzlaff, DPT
• Sondra Lynn Reynolds, CCC-SLP
• Angela M Rhode, APNP
• Marie B. Richards, MSSW, LCSW
• Kelsey Richmond, PSY.D., L.P.
• Tracy Ann Richtmyre, APNP
• Kimara L Riggs, DPT
• Kristopher A Riggs, DPT

• Clinical Psychologist in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.