Active NPI
Sherry Lynne Hatch, L.L.P.
- Cognitive & Behavioral Psychologist
- Whitmore Lake, MI
National Provider Identifier
1700031366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 6301006421
- Practice address
- 11352 E Shore Dr
Whitmore Lake, MI 48189-9326 - Phone
- (734) 449-4253
- NPI assigned
- Nov 24, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 6301006421 | MI | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 6301006421 | MI | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 6301006421 | ||
| Family Psychologist | 103TF0000X | 6301006421 | MI | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 6301006421 | MI |
Addresses
Primary practice location
11352 E Shore Dr
Whitmore Lake, MI 48189-9326
Mailing address
11352 E Shore Dr
Whitmore Lake, MI 48189-9326
Phone (734) 449-4253
Other names 1
- Sherry Lynne Hatch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301006421 | MI | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1700031366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11352 E SHORE DR",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "481899326",
"telephone_number": "734-449-4253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11352 E SHORE DR",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "481899326",
"telephone_number": "734-449-4253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATCH",
"first_name": "SHERRY",
"middle_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "L.L.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "MI",
"license": "6301006421",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MI",
"license": "6301006421",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": "6301006421",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MI",
"license": "6301006421",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "MI",
"license": "6301006421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRY",
"last_name": "HATCH",
"middle_name": "LYNNE",
"credential": "L.L.P.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Whitmore Lake, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.