Individual provider

Matthew Tull, PH.D.

Psychologist Clinical Psychologist

Matthew Tull, PH.D. is a Psychologist in Jackson, MS, registered under NPI 1073753612. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2500 N STATE ST DEPARTMENT OF PSYCHIATRY, Jackson, MS 39216. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2500 N STATE ST DEPARTMENT OF PSYCHIATRY, Jackson, MS 39216 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
6301019358 MI Psychologist primary
48 834 MS Clinical Psychologist

Licences are recorded in 2 states: MI, MS. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

Licensed in 2 states

This provider holds licences in 2 states: Michigan and Mississippi. The practice address on file is in Jackson, MS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

MI Michigan
Licence
6301019358
Specialty
Psychologist
Verify with the MI board →
MS Mississippi practice address
Licence
48 834
Specialty
Clinical Psychologist
Verify with the MS board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychologist covers

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. NUCC Health Care Provider Taxonomy, code 103T00000X
Behavioral Health & Social Service Providers Psychologist

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
103T00000X Psychologist 6301019358 MI primary
103TC0700X Clinical Psychologist Clinical 48 834 MS

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1073753612 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 23, 2009
Last updatedJan 28, 2025
StatusActive
Sole proprietorNo
CredentialPH.D.
Practice address 2500 N STATE ST
DEPARTMENT OF PSYCHIATRY
Jackson, MS 39216
(601) 815-6518
Other identifiers 512I680055 · Other (MS)
This record was updated on Jan 28, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1073753612 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 7 3 7 5 3 6 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 5 3 5 5 6 6 2

Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1073753612?
NPI 1073753612 is the National Provider Identifier assigned to Matthew Tull, PH.D. in Jackson, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychologist cover?
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…
How do I contact Matthew Tull, PH.D.?
The phone number on file with NPPES is (601) 815-6518, last updated Jan 28, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1073753612 a valid number?
Yes. 1073753612 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.