DR. HAILEY LYNN DOTTERER (PHD) – Clinical Neuropsychologist, NPI 1346718905

DR. HAILEY LYNN DOTTERER (PHD) is a healthcare provider. based in Ann arbor, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 07026 (MD). The NPI Number for DR. HAILEY LYNN DOTTERER (PHD) is 1346718905

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. HAILEY LYNN DOTTERER (PHD)
NPI
1346718905
Phone
(734) 615-7853
Address
500 E WASHINGTON ST STE 100
Enumeration Date
12 November 2018
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7033139111
Graduation Year
2022 (4 years ago)
PAC ID
6103362546
Group Practice PAC ID
2567352412
Professional Enrollment ID
I20240723000072
Address ID
VA220432301FA7115XPIKE301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:7State licenses:2Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for DR. HAILEY LYNN DOTTERER (PHD)

  • 100, East Washington Street, Ann Arbor, Washtenaw County, Michigan, 48104, United States

    ANN ARBOR, MI 481042057

    Phone: (734) 615-7853

    Type: Location

  • 600 N WOLFE ST

    BALTIMORE, MD 212870005

    Phone: (410) 502-6343

    Type: Location

  • East Kingsley Street, Ann Arbor, Washtenaw County, Michigan, 48104, United States

    ANN ARBOR, MI 481041152

    Phone: (586) 484-7707

    Type: Mailing

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: 2024-07-23

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
I20240723000072IClinical PsychologistDCTBD

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 48104)

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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: 2567352412View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationVA
N E U R O L O G YVA
N E U R O L O G YWV
N E U R O L O G YVA
N E U R O L O G YVA
P S Y C H I A T R YKS

Reviews

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Frequently asked questions

What federal number belongs to DR. HAILEY LYNN DOTTERER (PHD)?
The federal identifier for DR. HAILEY LYNN DOTTERER (PHD) is NPI 1346718905.
Is DR. HAILEY LYNN DOTTERER (PHD) active in the national directory?
DR. HAILEY LYNN DOTTERER (PHD)'s public NPI profile is in an active state.
What field does DR. HAILEY LYNN DOTTERER (PHD) work in?
You can think of DR. HAILEY LYNN DOTTERER (PHD) as practicing within Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where is DR. HAILEY LYNN DOTTERER (PHD)'s primary listing?
We display Ann Arbor, Michigan because that is what the record indicates for DR. HAILEY LYNN DOTTERER (PHD).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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