DR. MICHAEL T. HILL (PH.D.) – Psychologist, NPI 1104155175

DR. MICHAEL T. HILL (PH.D.) is a healthcare provider. based in Bemidji, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. LP5479 (MN). The NPI Number for DR. MICHAEL T. HILL (PH.D.) is 1104155175

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL T. HILL (PH.D.)
NPI
1104155175
Phone
(218) 751-3280
Address
722 15th St NW
Enumeration Date
21 December 2009
Last Update Date
2 October 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2186942442
Graduation Year
2009 (17 years ago)
PAC ID
4587828819
Group Practice PAC ID
5597725168
Professional Enrollment ID
I20120615000561
Address ID
MN566214357BA1656XWXXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

Provider Addresses for DR. MICHAEL T. HILL (PH.D.)

  • 722 15th St NW

    Bemidji, MN 56601

    Phone: (218) 751-3280

    Fax: (218) 751-3298

    Type: Location

  • Sioux Falls Post Office, 320, South 2nd Avenue, Downtown, Sioux Falls, Sioux Falls Township, Minnehaha County, South Dakota, 57104, United States

    SIOUX FALLS, SD 571175074

    Phone: (218) 694-2384

    Fax: (218) 694-6687

    Type: Mailing

  • 1656, Central Street West, Bagley, Clearwater County, Minnesota, 56621, United States

    BAGLEY, MN 56621

    Phone: (218) 694-2384

    Fax: (218) 694-6687

    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: 2012-06-15

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
I20120615000561IClinical PsychologistMNTBD

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 56601)

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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: 5597725168View full group profile

Reviews

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Frequently asked questions

How is DR. MICHAEL T. HILL (PH.D.) identified in CMS data?
CMS-hosted NPPES data lists DR. MICHAEL T. HILL (PH.D.) with NPI 1104155175.
Does CMS list DR. MICHAEL T. HILL (PH.D.) as active?
Yes — DR. MICHAEL T. HILL (PH.D.) is active in the NPI listing used on this page.
What is DR. MICHAEL T. HILL (PH.D.) best known for clinically?
Directory data describes DR. MICHAEL T. HILL (PH.D.) with Psychologist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. MICHAEL T. HILL (PH.D.) on a map?
Expect Bemidji, Minnesota as a primary anchor for DR. MICHAEL T. HILL (PH.D.) unless the record lists multiple sites.
Why does DR. MICHAEL T. HILL (PH.D.) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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