Individual provider Active NPI

Rebecca Hatton, PSYD

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1689706079
Registry record updated Oct 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301012318 Issued in MI
Practice address
2311 E. Stadium Blvd, Ste 105-North, # 9
Ann Arbor, MI 48104-4833
Phone
(734) 709-2183
Fax
(888) 520-1372
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2016

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 6301012318 MI Primary

Addresses

Primary practice location

2311 E. Stadium Blvd, Ste 105-North, # 9
Ann Arbor, MI 48104-4833

Mailing address

2035 Suffolk St
Ann Arbor, MI 48103-5049
Phone (734) 709-2183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20120220000533 MI Practitioner - Clinical Psychologist 7214195411 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2311 E Stadium Blvd
Suite 105North
Ann Arbor, MI 48104-4833
Phone (734) 709-2183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6301012318MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca Hatton, PSYD, Licensed Psychologist CurrentSince Sep 1, 2011 Accepting new patients

Locations

2311 E Stadium Blvd
Ste 105N
Ann Arbor, MI 48104
Phone (734) 602-4635

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476403200000",
    "number": "1689706079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 SUFFOLK ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035049",
            "telephone_number": "734-709-2183",
            "fax_number": "888-520-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 E. STADIUM BLVD, STE 105-NORTH, # 9",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044833",
            "telephone_number": "734-709-2183",
            "fax_number": "888-520-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATTON",
        "first_name": "REBECCA",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2016-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301012318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.