DR. HALLIE E FETTERMAN PHD, BCBA, COBA
NPI 1619469996
Psychologist in Cleveland, OH

Active since June 03, 2018PECOS Enrolled
2801 MARTIN LUTHER KING JR DR, CLEVELAND, OH 44104(216) 636-5437 Get Directions Write a Review

NPPES record last updated: September 9, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2022, Apr 23, 2020, Aug 30, 2019 (3 updates tracked since 2019).

About Dr. Hallie E Fetterman Phd, Bcba, Coba NPPES

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

DR. HALLIE E FETTERMAN PHD, BCBA, COBA (NPI 1619469996) is an individual psychologist in Cleveland, Ohio, licensed in Ohio (P.08347) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Westerville.

NPPES Registry Identity

NPI1619469996
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. HALLIE E FETTERMANCredential: PHD, BCBA, COBA
Location Address2801 MARTIN LUTHER KING JR DRCleveland, OH 44104-3815
Mailing Address2801 Martin Luther King Jr DrCleveland, OH 44104-3815 · (216) 636-5437
Sole ProprietorNo
Enumeration DateJune 3, 2018
Last NPPES UpdateSeptember 9, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2022
NPI 1619469996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in OH · P.08347
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedBehavior AnalystTaxonomy 103K00000X · License COBA.00598 (OH)
2801 MARTIN LUTHER KING JR DR, Cleveland, OH 44104

Secondary Practice Location 1

Location 1195 W Schrock RdWesterville, OH 43081-2890 · Phone (614) 355-7570

Other Identifiers 1

Medicaid1473276OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Hallie E Fetterman Phd, Bcba, Coba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Rehabilitation Hospital (Children)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Psychologist (Clinical Child & Adolescent)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Psychologist
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Nurse Practitioner (Pediatrics)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Occupational Therapist (Pediatrics)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Behavior Analyst
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104
Psychologist (Clinical Child & Adolescent)
2801 MARTIN LUTHER KING JR DR
CLEVELAND, OH 44104

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 Hallie Fetterman's NPI number?

The NPI number for Hallie Fetterman is 1619469996. It was assigned to this individual provider in the NPPES registry on June 3, 2018.

Where is Hallie Fetterman located?

Hallie Fetterman practices at 2801 Martin Luther King Jr Dr, Cleveland, OH 44104. The listed phone number is (216) 636-5437.

What is Hallie Fetterman's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Hallie Fetterman enrolled in Medicare?

Yes. Hallie Fetterman is registered in the Medicare PECOS enrollment system.

What insurance does Hallie Fetterman accept?

Health plans from Oscar Insurance Corporation of Ohio list Hallie Fetterman 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 Hallie Fetterman was last updated on September 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.