C Keith Hulse, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P1235 Issued in TN

Practice address

2607 Kingston Pike Ste 250
Knoxville, TN 37919-3331

Phone

(865) 264-4000

Fax

(865) 588-6406

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Clinical Psychologist

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Behavioral Medicine Institute PCGroup PAC ID 4284828385, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Behavioral Medicine Institute PC

  • Clinical Psychologist
  • Knoxville, TN
  • NPI 1073674552
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1699706291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-4000",
            "fax_number": "865-588-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 KINGSTON PIKE STE 250",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379193331",
            "telephone_number": "865-264-4000",
            "fax_number": "865-588-6406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6231 Highland Place Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379194083",
            "country_code": "US",
            "telephone_number": "865-264-2400",
            "fax_number": "865-588-6406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HULSE",
        "first_name": "C",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P1235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3681783",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kellyn Hukill
• Anna Christine Hullett, RN
• Brooke Melanie Hullett, OT
• Mickayla Hulliberger, M.S., CF-SLP
• Hulse Dental Practice PC
• Lauren Whitney Hulse, LCSW
• Jennifer Winfree Hultz, CRNA
• Edwina Leann Human-Hilliard, LCSW
• Sydnee Leeann Humbard, PHARMD
• Terry Humberd

• Clinical Psychologist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.