Individual provider Active NPI

Michelle L. Hobby, PH.D.

  • Clinical Psychologist
  • Southlake, TX
National Provider Identifier
1609092840
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS018424 Issued in PA
Practice address
1200 S White Chapel Blvd Ste 200
Southlake, TX 76092-9335
Phone
(855) 414-2523
Fax
(484) 577-3374
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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 PS018424 PA Primary

Addresses

Primary practice location

1200 S White Chapel Blvd Ste 200
Southlake, TX 76092-9335

Mailing address

1200 S White Chapel Blvd Ste 200
Southlake, TX 76092-9335
Phone (855) 414-2523

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 11, 2026 through May 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS018424PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
MLH Psychological Services, LLC Current Accepting new patients

Locations

427 Main St
Ste 2
Hellertown, PA 18055
Phone (484) 353-6334

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1609092840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S WHITE CHAPEL BLVD STE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929335",
            "telephone_number": "855-414-2523",
            "fax_number": "484-577-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S WHITE CHAPEL BLVD STE 200",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760929335",
            "telephone_number": "855-414-2523",
            "fax_number": "484-577-3374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBY",
        "first_name": "MICHELLE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS018424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.