Active NPI
Jennie Hyde, PHD
- Psychologist
- Wake Forest, NC
National Provider Identifier
1023960879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6761
- Practice address
- 917 Coral Bell Dr
Wake Forest, NC 27587-4396 - Phone
- (828) 443-3721
- NPI assigned
- Feb 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6761 | NC | Primary |
Addresses
Primary practice location
917 Coral Bell Dr
Wake Forest, NC 27587-4396
Mailing address
917 Coral Bell Dr
Wake Forest, NC 27587-4396
Phone (828) 443-3721
Other practice location 1
917 Coral Bell Dr
Wake Forest, NC 27587-4396
Phone (828) 443-3721 ext. 60710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6761 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770940800000",
"number": "1023960879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 CORAL BELL DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874396",
"telephone_number": "828-443-3721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 CORAL BELL DR",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874396",
"telephone_number": "828-443-3721"
}
],
"practiceLocations": [
{
"address_1": "917 Coral Bell Dr",
"address_purpose": "LOCATION",
"city": "Wake Forest",
"state": "NC",
"postal_code": "275874396",
"country_code": "US",
"telephone_number": "828-443-3721 x60710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HYDE",
"first_name": "JENNIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-13",
"last_updated": "2026-02-13",
"certification_date": "2026-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "6761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.