Active NPI
Hillary Rose Hubert, ED.S
- School Psychologist
- Grant Park, IL
National Provider Identifier
1871002097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 2383551
- Practice address
- 13657 E 10500N Rd
Grant Park, IL 60940-5021 - Phone
- (815) 370-4961
- NPI assigned
- Sep 20, 2017
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 2383551 | IL | Primary |
Addresses
Primary practice location
13657 E 10500N Rd
Grant Park, IL 60940-5021
Mailing address
13657 E 10500N Rd
Grant Park, IL 60940-5021
Phone (815) 370-4961
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2383551 | IL | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1871002097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13657 E 10500N RD",
"city": "GRANT PARK",
"state": "IL",
"postal_code": "609405021",
"telephone_number": "815-370-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13657 E 10500N RD",
"city": "GRANT PARK",
"state": "IL",
"postal_code": "609405021",
"telephone_number": "815-370-4961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBERT",
"first_name": "HILLARY",
"middle_name": "ROSE",
"credential": "ED.S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-09-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IL",
"license": "2383551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grant Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.