Bobby Boyd Hatfield Jr., PHD, HSPP
Individual provider Active NPI Clinical Neuropsychologist · Selma, IN
NPI 1942272992 · NPPES record last updated Jun 14, 2019
Key facts
- NPI
- 1942272992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Neuropsychologist 103G00000X
- License
- 20041571A (IN)
- Practice address
- 8711 S County Road 600 E
Selma, IN 47383-9338 - Phone
- (765) 730-2649
- NPI assigned
- Feb 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Onhealthcare LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 20041571A | IN | Yes |
Addresses
Primary practice location
8711 S County Road 600 E
Selma, IN 47383-9338
Mailing address
8711 S County Road 600 E Ste a
Selma, IN 47383-9338
Phone (765) 730-2649
Other practice location 1
3645 N Briarwood Ln
Suite A
Muncie, IN 47304-5214
Phone (765) 289-5520
Other practice location 2
3601 W Bethel Ave
Muncie, IN 47304-5408
Phone (765) 282-8222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2628219000 | Other | IN | MAGELLAN |
| 000000183925 | Other | IN | ANTHEM BLUE CROSS BLUE SH |
| 200271790 | Medicaid | IN |
Other providers in Selma, IN
- Makayla Blackmer
- Shelley Cook
- Jessica Crehan
- Dungarvin Indiana, LLC
- Ryan Evans
- Jenkinson Co LLC
- Liberty-Perry Community Schools
- Rem Occazio, Inc.
- Stacy Wright
- Vintage Roots LLC
All providers in Selma, IN · Clinical Neuropsychologist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.