DR. MARC HILLBRAND PH.D.
NPI 1861567273
Psychologist - Clinical in Wallingford, CT

NPI Status: Active since November 21, 2006

Contact Information

1062 BARNES RD
SUITE 204
WALLINGFORD, CT
ZIP 06492
Phone: (203) 294-0094
Fax: (860) 262-5477

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Psychologist
Clinical
PECOS Enrolled

About MARC HILLBRAND

This page provides the complete NPI Profile along with additional information for Marc Hillbrand, a provider established in Wallingford, Connecticut with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1861567273 assigned on November 2006. The practitioner's primary taxonomy code is 103TC0700X with license number 1402 (CT). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI: 1861567273
Provider Name: DR. MARC HILLBRAND PH.D.
Gender: Male
Entity Type: Individual
Location Address: 1062 BARNES RD SUITE 204 WALLINGFORD, CT 06492
Location Phone: (203) 294-0094
Location Fax: (860) 262-5477
Mailing Address: 1062 BARNES RD SUITE 204 WALLINGFORD, CT 06492
Mailing Phone: (203) 294-0094
Mailing Fax: (860) 262-5477
Is Sole Proprietor?: Yes
Enumeration Date: 11-21-2006
Last Update Date: 07-08-2007
Code Navigator

A clinical psychologist like Marc Hillbrand assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Psychologist Clinical
Taxonomy Code: 103TC0700X
Type: Behavioral Health & Social Service Providers
License No.: 1402
License State: CT
Taxonomy Description: 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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross Blue Shield

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Anthem Blue Cross

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
060001402CT01	OTHER (01)	CT	ANTHEM BCBS PRACTICE ID

Medicare Participation & PECOS Enrollment Status

Marc Hillbrand is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 06492 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99205

Average New Patient Price $183.1
Minimum New Patient Price $60.82
Maximum New Patient Price $183.1

Average New Patient Copayment $45.77
Minimum New Patient Copayment $15.2
Maximum New Patient Copayment $45.77

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $106.68
Minimum Established Patient Price $19.76
Maximum Established Patient Price $149.26

Average Established Patient Copayment $26.67
Minimum Established Patient Copayment $4.94
Maximum Established Patient Copayment $37.31

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	8	6	1	5	6	7	2	7	3
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	12	1	10	6	14	2	14
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 2 + 1 + 1 + 0 + 6 + 1 + 4 + 2 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 3									3

The NPI number 1861567273 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 17 providers are registered at the same or nearby location.

DR. ROBERT JOEL GOLUB M.D.

Internal Medicine

(Cardiovascular Disease)

1062 BARNES RD
STE 300
WALLINGFORD, CT
ZIP 06492

About MARC HILLBRAND

Location Map

Specialty - Primary Taxonomy

Psychologist Clinical

Insurance Plans Accepted

Additional Identifiers

Medicare Participation & PECOS Enrollment Status

Is the provider registered in PECOS? Yes

Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

Eligible to Order or Refer a Home Health Agency (HHA): No

Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

New Patients Visit Costs *

Established Patients Visit Costs *

Reviews for DR. MARC HILLBRAND PH.D.

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions