Individual provider Active NPI

Thomas Alan Hulbert, PH.D.

  • Clinical Psychologist
  • Southfield, MI
National Provider Identifier
1841273570
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006332 Issued in MI
Practice address
25899 W 12 Mile Rd
Suite 190
Southfield, MI 48034-1800
Phone
(248) 415-4471
Fax
(248) 809-6245
NPI assigned
Nov 28, 2005
Last updated
May 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6301006332 MI Primary

Addresses

Primary practice location

25899 W 12 Mile Rd
Suite 190
Southfield, MI 48034-1800

Mailing address

25899 W 12 Mile Rd
Suite 190
Southfield, MI 48034-1800
Phone (248) 415-4471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20080107000873 MI Practitioner - Clinical Psychologist 5092895755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

25899 W 12 Mile Rd
Suite 190
Southfield, MI 48034-8311
Phone (248) 415-4471

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301006332MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Scheerbert Psychological, PLLC Clinical Current Accepting new patients
Scheerbert Psychological, PLLC Clinical CurrentSince Jul 19, 2006 Accepting new patients

Locations

18090 Mack Ave
Ste 4
Grosse Pointe, MI 48230
Phone (248) 415-4471

25899 W 12 Mile Rd
Ste 1
Southfield, MI 48034

25899 W 12 Mile Rd
Ste 190
Southfield, MI 48034
Phone (248) 415-4471

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, 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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1841273570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD",
            "address_2": "SUITE 190",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341800",
            "telephone_number": "248-415-4471",
            "fax_number": "248-809-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD",
            "address_2": "SUITE 190",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341800",
            "telephone_number": "248-415-4471",
            "fax_number": "248-809-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULBERT",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.