Individual provider Active NPI

Robert D Hill, PHD, ABPP

  • Psychologist
  • Salt Lake City, UT
National Provider Identifier
1962955112
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
115278-2501 Issued in UT
Practice address
34 S 500 E
Ste 101
Salt Lake City, UT 84102-1039
Phone
(385) 227-8941
Fax
(385) 227-8941
NPI assigned
Jul 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 115278-2501 UT Primary

Addresses

Primary practice location

34 S 500 E
Ste 101
Salt Lake City, UT 84102-1039

Mailing address

34 S 500 E
Ste 101
Salt Lake City, UT 84102-1039
Phone (385) 227-8941

Other identifiers 1

IdentifierTypeStateIssuer
1598725426MedicaidUT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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
I20170116000021 UT Practitioner - Clinical Psychologist 9436431046 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Stanford University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1817 S Main St
Suite 16
Salt Lake City, UT 84115-7049
Phone (385) 227-8941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
115278-2501UTMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert D. Hill PHD Abpp PLLC Psychologist CurrentSince Nov 12, 2016 Accepting new patients

Locations

34 S 500 E
Ste 101
Salt Lake City, UT 84102
Phone (385) 227-8941

1817 S Main St
Ste 16
Salt Lake City, UT 84115
Phone (385) 227-8941

Organizations & group practices 1

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": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1962955112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S 500 E",
            "address_2": "STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021039",
            "telephone_number": "385-227-8941",
            "fax_number": "385-227-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S 500 E",
            "address_2": "STE 101",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021039",
            "telephone_number": "385-227-8941",
            "fax_number": "385-227-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ROBERT",
        "middle_name": "D",
        "credential": "PHD, ABPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-24",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "UT",
            "license": "115278-2501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598725426",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.