BEVERLY SHARON HULL (PH.D.,L.P.) – Clinical Psychologist, NPI 1154441905

BEVERLY SHARON HULL (PH.D.,L.P.) is a healthcare provider. based in Mount clemens, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.,L.P.. They hold a License No. 6301006219 (MI). The NPI Number for BEVERLY SHARON HULL (PH.D.,L.P.) is 1154441905

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
BEVERLY SHARON HULL (PH.D.,L.P.)
NPI
1154441905
Phone
(586) 783-2950
Address
100 NB GRATIOT AVE
Enumeration Date
29 March 2007
Last Update Date
22 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8109660099
Graduation Year
1996 (30 years ago)
PAC ID
0244387116
Group Practice PAC ID
5496773863
Professional Enrollment ID
I20090409000626
Address ID
MI480603748PO1024XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for BEVERLY SHARON HULL (PH.D.,L.P.)

  • 100 NB GRATIOT AVE

    MOUNT CLEMENS, MI 480432301

    Phone: (586) 783-2950

    Fax: (586) 690-4333

    Type: Mailing

  • 511 FORT ST RM 505

    PORT HURON, MI 48060

    Phone: (810) 966-0099

    Fax: (810) 696-7339

    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: 2009-04-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090409000626IClinical PsychologistMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48043)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496773863View full group profile
NameSpecialtyState
Mental Health CounselorMI
-MI
Mental Health CounselorMI
Clinical Social WorkerMI
-MI
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Mental Health CounselorMI
-MI

Reviews

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Frequently asked questions

How do payers reference BEVERLY SHARON HULL (PH.D.,L.P.)?
For BEVERLY SHARON HULL (PH.D.,L.P.), use NPI 1154441905 as the unique 10-digit identifier.
Active or inactive — what applies to BEVERLY SHARON HULL (PH.D.,L.P.)?
You should see BEVERLY SHARON HULL (PH.D.,L.P.) as active in CMS-hosted NPPES data.
What clinical focus is listed for BEVERLY SHARON HULL (PH.D.,L.P.)?
At a glance, BEVERLY SHARON HULL (PH.D.,L.P.) is tied to Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Is BEVERLY SHARON HULL (PH.D.,L.P.) located near Mount Clemens?
BEVERLY SHARON HULL (PH.D.,L.P.) currently maps to Mount Clemens, Michigan in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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