Individual provider Active NPI

Robert Edward Hooberman, PH.D.

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1669414835
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301002112 Issued in MI
Practice address
1327 Jones Dr
Suite 203
Ann Arbor, MI 48105-1892
Phone
(734) 663-7588
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 6301002112 MI Primary

Addresses

Primary practice location

1327 Jones Dr
Suite 203
Ann Arbor, MI 48105-1892

Mailing address

1327 Jones Dr
Suite 203
Ann Arbor, MI 48105-1892
Phone (734) 663-7588

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 Aug 15, 2015 through Aug 15, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301002112MIMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1669414835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 JONES DR",
            "address_2": "SUITE 203",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051892",
            "telephone_number": "734-663-7588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 JONES DR",
            "address_2": "SUITE 203",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051892",
            "telephone_number": "734-663-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOBERMAN",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301002112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.