Individual provider Active NPI

Donald Michael Hatcher, PSYD

  • Clinical Neuropsychologist
  • Farmington Hills, MI
National Provider Identifier
1841361219
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
6301010322 Issued in MI
Practice address
33045 Hamilton Court
Suite 260
Farmington Hills, MI 48334
Phone
(248) 514-7411
Fax
(248) 994-1054
NPI assigned
Nov 10, 2006
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
Clinical Neuropsychologist 103G00000X 6301010322 MI Primary

Addresses

Primary practice location

33045 Hamilton Court
Suite 260
Farmington Hills, MI 48334

Mailing address

PO Box 256
Bloomfield Hills, MI 48303
Phone (248) 514-7411

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
I20040522000316 MI Practitioner - Clinical Psychologist 1456342955 Practice locations: Pontiac, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

44555 Woodward Ave
Suite 302
Pontiac, MI 48341-5035

44555 Woodward Ave Su
302 Michael Hatcher PSYD
Pontiac, MI 48341-5035
Phone (248) 514-7411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301010322MIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Young H. Kim, MD, PC Past Accepting new patients
St. Joseph Mercy Hospital Crna Group 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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841361219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 256",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "48303",
            "telephone_number": "248-514-7411",
            "fax_number": "248-994-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33045 HAMILTON COURT",
            "address_2": "SUITE 260",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "48334",
            "telephone_number": "248-514-7411",
            "fax_number": "248-994-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATCHER",
        "first_name": "DONALD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "6301010322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.