Individual provider Active NPI

Alfred J. Hillwig, PSY.D.

  • Psychologist
  • Phoenix, MD
National Provider Identifier
1801944418
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
MD 04188 Issued in MD
Practice address
3313 Paper Mill Rd
Suite 7
Phoenix, MD 21131-1465
Phone
(410) 628-1978
Fax
(410) 667-0915
NPI assigned
Jan 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Psychologist 103T00000X MD 04188 MD Primary

Addresses

Primary practice location

3313 Paper Mill Rd
Suite 7
Phoenix, MD 21131-1465

Mailing address

3313 Paper Mill Rd
Suite 7
Phoenix, MD 21131-1465
Phone (410) 628-1978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080201000208 MD Practitioner - Clinical Psychologist 3870675663 Reassigns benefits to 1 organization
I20120828000584 DC Practitioner - Clinical Psychologist 3870675663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Della Behavioral Health ServicesGroup PAC ID 3971755000, 54 clinicians

Practice addresses (Care Compare)

9841 Broken Land Pkwy
Suite 314
Columbia, MD 21046-3078
Phone (410) 929-7225

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Quality
75.8
Improvement activities
40
Cost
77.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MD 04188MDMDPsychologist
04188MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Della Behavioral Health Services Psychologist CurrentSince Dec 13, 2021 Accepting new patients
Everly, Hildreth & Platman Behavioral Services, LLC PastSince Jul 1, 1997 Accepting new patients

Locations

9841 Broken Land Pkwy
Ste 314
Columbia, MD 21046
Phone (410) 929-7225

Organizations & group practices 3

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801944418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 PAPER MILL RD",
            "address_2": "SUITE 7",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311465",
            "telephone_number": "410-628-1978",
            "fax_number": "410-667-0915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 PAPER MILL RD",
            "address_2": "SUITE 7",
            "city": "PHOENIX",
            "state": "MD",
            "postal_code": "211311465",
            "telephone_number": "410-628-1978",
            "fax_number": "410-667-0915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLWIG",
        "first_name": "ALFRED",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "MD 04188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, MD

Sources for this page

Verify at the official NPI Registry.