Active NPI
Joseph Fredrick Hulgus Jr., PH.D.
- Family Psychologist
- Springfield, MO
National Provider Identifier
1881934800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- R0496
- Practice address
- 2053 S Waverly Ave Ste D
Springfield, MO 65804-2497 - Phone
- (417) 886-8262
- NPI assigned
- Feb 28, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | R0496 | MO | Primary |
Addresses
Primary practice location
2053 S Waverly Ave Ste D
Springfield, MO 65804-2497
Mailing address
2053 S Waverly Ave Ste D
Springfield, MO 65804-2497
Phone (417) 886-8262
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0496 | MO | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1881934800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2053 S WAVERLY AVE STE D",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042497",
"telephone_number": "417-886-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2053 S WAVERLY AVE STE D",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658042497",
"telephone_number": "417-886-8262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULGUS",
"first_name": "JOSEPH",
"middle_name": "FREDRICK",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-02-28",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "MO",
"license": "R0496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.