SETH R. HATLELID (PSY.D.) – Clinical Psychologist, NPI 1447270368
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,600 CLINICAL PSYCHOLOGIST in IL
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Provider Addresses for SETH R. HATLELID (PSY.D.)
604, West Glen Arbor Way, Bloomington, Monroe County, Indiana, 47403, United States
BLOOMINGTON, IL 617020604
Phone: (309) 706-3190
Fax: (309) 588-4115
Type: Mailing
1015, South Mercer Avenue, Bloomington, McLean County, Illinois, 61701, United States
BLOOMINGTON, IL 617017107
Phone: (309) 706-9532
Fax: (309) 588-4115
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-04-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060404000334 | I | Clinical Psychologist | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 101 | 15 | $0 |
Insurance plans in this area (ZIP 61702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL | |
| Clinical Psychologist | IL | |
| Mental Health Counselor | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | NM | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL |
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