Individual provider Active NPI

Katherine B. Hull, PSYD

  • Clinical Psychologist
  • Albuquerque, NM
National Provider Identifier
1679893630
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1205 Issued in NM
Practice address
2601 Wyoming Blvd NE Ste 116
Albuquerque, NM 87112-1000
Phone
(505) 633-0643
NPI assigned
Jun 1, 2010
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3527 CO
Clinical Psychologist 103TC0700X 1205 NM Primary

Addresses

Primary practice location

2601 Wyoming Blvd NE Ste 116
Albuquerque, NM 87112-1000

Mailing address

2601 Wyoming Blvd NE Ste 116
Albuquerque, NM 87112-1000
Phone (505) 633-0643

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address UNMH@direct.health.unm.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130308000367 NM Practitioner - Clinical Psychologist 4688858210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2601 Wyoming Blvd NE
Suite 116
Albuquerque, NM 87112-1000
Phone (505) 633-0643

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
83.58
Promoting interoperability
100
Improvement activities
40
Cost
72.52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3527COMDClinical Psychologist
1205NMMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Hospital CurrentSince Jan 18, 2013 Accepting new patients
Unm Hospital Clinical CurrentSince Jan 18, 2013 Accepting new patients
Anchored Therapy LLC Clinical CurrentSince Oct 23, 2024 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients

Locations

2601 Wyoming Blvd NE
Ste 116
Albuquerque, NM 87112
Phone (505) 633-0643

8226 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 413-3719

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

Organizations & group practices 4

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1679893630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 WYOMING BLVD NE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121000",
            "telephone_number": "505-633-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 WYOMING BLVD NE STE 116",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871121000",
            "telephone_number": "505-633-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULL",
        "first_name": "KATHERINE",
        "middle_name": "B.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3527",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NM",
            "license": "1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "UNMH@direct.health.unm.edu",
            "affiliation": "N",
            "address_1": "2211 Lomas Blvd NE",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871062719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.