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Dr. Matthew T. Tull , PhD

Psychologist β€’ Jackson, MS

Active NPI 1073753612 Individual Practitioner Male Practitioner
Practice location in NPPES

2500 N State St, Department Of Psychiatry
Jackson, MS 392164500

Call 6018156518 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2500 N State St
Department Of Psychiatry

Jackson, MS 392164500

Telephone 6018156518
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2009

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Mississippi

30 active clinicians are listed under Psychologist with a practice address in Jackson, MS (128 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

6.7% of these 30 clinicians have the CMS telehealth indicator.

13.3% of these 30 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-28
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

License # reported to NPPES MI 6301019358

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.

Psychologist - Clinical

NUCC Taxonomy Code: 103TC0700X

License # reported to NPPES MS 48 834

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Medicare Ptan
512I680055 (MS)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Noah Abbas , MD

Emergency Medicine

NPI 1982991246

Doctor of Medicine (M.D.)

Dr. Syed Abbas , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1407378961

Doctor of Medicine (M.D.)

Dr. George Abraham , MD

Internal Medicine - Pulmonary Disease

NPI 1518052257

Doctor of Medicine (M.D.)

Mackenzie Acosta , CRNA

Nurse Anesthetist, Certified Registered

NPI 1699472928

Certified Registered Nurse Anesthetist

Dr. Dominic Adams , MD

Psychiatry & Neurology - Psychiatry

NPI 1326625310

Doctor of Medicine (M.D.)

Dorothy Adcock

Nurse Practitioner - Family

NPI 1851841548

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2025

Psychologist (license number reported to NPPES: MI 6301019358)

βœ…
NPI Profile Active June 14, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 14, 2012

Registered at 2500 N STATE ST, DEPARTMENT OF PSYCHIATRY, JACKSON, MS 392164500 (Tel: 6018156518)

πŸ“
Business Mailing Address (Initial Record) June 14, 2012

Registered at 2500 N STATE ST, DEPARTMENT OF PSYCHIATRY, JACKSON, MS 392164500 (Tel: 6018156518)

πŸ‘€
Provider Name / Credentials (Initial Record) June 14, 2012

Recorded as MATTHEW TULL, PH.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2012

Psychologist (license number reported to NPPES: MS 48 834)

🟒
Initial NPI Registration & Enumeration February 23, 2009

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073753612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 23, 2009
Last Update: January 28, 2025
Sole Proprietor: No

Other Psychologists in Jackson

Healthcare providers in Jackson

Mailing Address

2500 N State St, Department Of Psychiatry

Jackson, MS 392164500

Phone: 6018156518

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.