Active NPI
Sarah Ruth Hulbert, PHD
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1821027590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2825
- Practice address
- 611 Park Ave
Suite 510
Baltimore, MD 21201-4547 - Phone
- (410) 347-7744
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2825 | MD | Primary |
Addresses
Primary practice location
611 Park Ave
Suite 510
Baltimore, MD 21201-4547
Mailing address
611 Park Ave
Suite 510
Baltimore, MD 21201-4547
Phone (410) 347-7744
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GN33SR | Other | MD | BLUE CROSS BLUE SHIELD |
| 0005651015 | Other | MD | AETNA |
| H2120001 | Other | MD | CAREFIRST BLUECROSS BLUES |
| 1406 | Other | MD | AMERICAN PSYCHOLOGY SYSTE |
| 52967602 | Other | MD | BLUE CROSS BLUE SHIELD |
| 002619 | Other | MD | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060818000259 | MD | Practitioner - Clinical Psychologist | 1951304641 | Practice locations: Baltimore, MD |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2825 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821027590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 PARK AVE",
"address_2": "SUITE 510",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014547",
"telephone_number": "410-347-7744",
"fax_number": "410-347-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 PARK AVE",
"address_2": "SUITE 510",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212014547",
"telephone_number": "410-347-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULBERT",
"first_name": "SARAH",
"middle_name": "RUTH",
"name_prefix": "Mrs.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "2825",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "GN33SR",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005651015",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BLUECROSS BLUES",
"identifier": "H2120001",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN PSYCHOLOGY SYSTE",
"identifier": "1406",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "52967602",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "002619",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.