DR. TRAVIS J. HALL PHD
NPI 1679001994
Psychologist - Clinical in Hamilton, NY

Q: What is Travis Hall's NPI number?

The NPI number for Travis Hall is 1679001994. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Q: What is Travis Hall's specialty?

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

Q: Is Travis Hall enrolled in Medicare?

No. Travis Hall has opted out of Medicare through May 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Travis Hall was last updated on May 31, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 31, 2017Opted out of Medicare · through May 28, 2027

164 BROAD ST, HAMILTON, NY 13346(315) 824-4600 Get Directions Write a Review

NPPES record last updated: May 31, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Travis J. Hall Phd NPPES

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

DR. TRAVIS J. HALL PHD (NPI 1679001994) is an individual clinical provider in Hamilton, New York, licensed in New York (022152) and active in the NPI registry since May 2017. He has opted out of Medicare through May 28, 2027.

NPPES Registry Identity

NPI1679001994

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. TRAVIS J. HALLCredential: PHD

Location Address164 BROAD STHamilton, NY 13346-9575

Mailing Address164 Broad StHamilton, NY 13346-9575

Phone(315) 824-4600

Sole ProprietorNo

Enumeration DateMay 31, 2017

✔ NPI 1679001994 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 NY · 022152

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.

164 BROAD ST, Hamilton, NY 13346

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Travis J. Hall Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 28, 2021 through May 28, 2027.

Opt-Out Effective DateMay 28, 2021

Opt-Out In Effect ThroughMay 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

REBECCA LYNN DORN FNP-C

Nurse Practitioner (Family)