DR. RUDOLPH CLINTON HATFIELD (PH.D.) – Clinical Neuropsychologist, NPI 1235115171

DR. RUDOLPH CLINTON HATFIELD (PH.D.) is a healthcare provider. based in Saginaw, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6301011637 (MI). The NPI Number for DR. RUDOLPH CLINTON HATFIELD (PH.D.) is 1235115171

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. RUDOLPH CLINTON HATFIELD (PH.D.)
NPI
1235115171
Phone
(248) 345-3090
Address
515 N MICHIGAN AVE RM 3041
Enumeration Date
22 December 2005
Last Update Date
3 January 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173474645
Graduation Year
2001 (25 years ago)
PAC ID
9032185913
Group Practice PAC ID
4183781297
Professional Enrollment ID
I20040902000972
Address ID
MI488646028OK2149XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for DR. RUDOLPH CLINTON HATFIELD (PH.D.)

  • 515 N MICHIGAN AVE RM 3041

    SAGINAW, MI 486024316

    Phone: (248) 345-3090

    Fax: (989) 583-2843

    Mailing address matches the actual address.

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: 2004-09-02

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
I20040902000972IClinical 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 48602)

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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: 4183781297View full group profile
NameSpecialtyState
Clinical PsychologistMI
Nurse PractitionerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Is there an official ID for DR. RUDOLPH CLINTON HATFIELD (PH.D.) in U.S. healthcare records?
The official identifier for DR. RUDOLPH CLINTON HATFIELD (PH.D.) is NPI 1235115171.
Is DR. RUDOLPH CLINTON HATFIELD (PH.D.) still an active registrant?
DR. RUDOLPH CLINTON HATFIELD (PH.D.) carries an active NPI according to the public dataset.
What kind of doctor is DR. RUDOLPH CLINTON HATFIELD (PH.D.)?
DR. RUDOLPH CLINTON HATFIELD (PH.D.) is associated with Clinical Neuropsychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Michigan is DR. RUDOLPH CLINTON HATFIELD (PH.D.) registered?
Use Saginaw, Michigan as the headline location for DR. RUDOLPH CLINTON HATFIELD (PH.D.) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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