Individual provider Active NPI

Diane Hill, PH.D.

  • Counseling Psychologist
  • Salt Lake City, UT
National Provider Identifier
1710045679
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
116752-2501 Issued in UT
Practice address
2040 Murray Holladay Rd
Suite 222
Salt Lake City, UT 84117-5185
Phone
(801) 278-0499
Fax
(801) 278-0489
NPI assigned
Dec 4, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 116752-2501 UT Primary

Addresses

Primary practice location

2040 Murray Holladay Rd
Suite 222
Salt Lake City, UT 84117-5185

Mailing address

PO Box 9322
Salt Lake City, UT 84109-0322
Phone (801) 278-0499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20060321000420 UT Practitioner - Clinical Psychologist 9436166170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4505 S Wasatch Blvd
Suite 360
Salt Lake City, UT 84124-4203
Phone (801) 440-2430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
116752-2501UTMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eric Hanson PHD Counseling Past Accepting new patients

Organizations & group practices 2

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710045679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9322",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841090322",
            "telephone_number": "801-278-0499",
            "fax_number": "801-278-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 MURRAY HOLLADAY RD",
            "address_2": "SUITE 222",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841175185",
            "telephone_number": "801-278-0499",
            "fax_number": "801-278-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "UT",
            "license": "116752-2501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.