Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Seth R. Hatlelid, PSYD

Individual provider Clinical Psychologist · NPI 1447270368

Seth R. Hatlelid, PSYD is a Clinical Psychologist in Bloomington, Illinois. Qualified in 2004, 22 years ago. Practices with Edgewood Clinical Services PC, a 292-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
22
Licensed in
IL
In the registry since
2006
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1015 S Mercer Ave
Bloomington, IL 61701-7107
Phone: (309) 706-9532
Fax: (309) 588-4115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 071.006972 (IL)

Record details

NPI number1447270368
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESJune 11, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Edgewood Clinical Services P.C. — 292 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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