PENELOPE HALE PHD PC
NPI 1346411220
Psychologist - Clinical in Dearborn, MI

Q: What is Penelope Hale Phd PC's NPI number?

The NPI number for Penelope Hale Phd PC is 1346411220. It was assigned to this organization in the NPPES registry on March 18, 2008.

Q: What is Penelope Hale Phd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since March 18, 2008

19855 OUTER DR, SUITE 103W, DEARBORN, MI 48124(313) 278-7777(313) 359-9778 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Penelope Hale Phd Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENELOPE HALE PHD PC (NPI 1346411220) is a healthcare organization registered as a clinical in Dearborn, Michigan and active in the NPI registry since March 2008. The organization lists Penelope A Hale, Owner, as its authorized official.

NPPES Registry Identity

NPI1346411220

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NamePENELOPE HALE PHD PC

Location Address19855 OUTER DR, SUITE 103WDearborn, MI 48124-2022

Mailing Address523 Barrington RdGrosse Pointe Park, MI 48230-1721 · (313) 278-7777 · Fax (313) 359-9778

Phone(313) 278-7777

Fax(313) 359-9778

Organization SubpartNo

Authorized OfficialPenelope A HaleOwner · (313) 278-7777

Enumeration DateMarch 18, 2008

✔ NPI 1346411220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MI · 6301002422

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

19855 OUTER DR, Dearborn, MI 48124

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penelope Hale Phd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateMichiganEnrollment IDO20080426000016Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Penelope Hale Phd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Penelope Hale, PH.D

Clinical Psychologist

NPI 1700961158

19855 OUTER DR STE 103W
Dearborn, MI 48124

(313) 278-7777

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penelope Hale Phd PC's NPI number?

The NPI number for Penelope Hale Phd PC is 1346411220. It was assigned to this organization in the NPPES registry on March 18, 2008.

Where is Penelope Hale Phd PC located?

Penelope Hale Phd PC is located at 19855 Outer Dr Suite 103W, Dearborn, MI 48124. The listed phone number is (313) 278-7777.

What is Penelope Hale Phd PC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Penelope Hale Phd PC enrolled in Medicare?

Yes. Penelope Hale Phd PC is registered in the Medicare PECOS enrollment system.

When is Penelope Hale Phd PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Penelope Hale Phd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Penelope Hale Phd PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Penelope Hale Phd PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Penelope Hale Phd PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penelope Hale Phd PC was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.