Active NPI
Henry D Hardt, PH.D.
- Psychologist
- Waco, TX
National Provider Identifier
1033109442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 20734
- Practice address
- 4555 Lake Shore Dr
Waco, TX 76710-1814 - Phone
- (254) 776-0400
- Fax
- (254) 776-0637
- NPI assigned
- Oct 26, 2005
- Last updated
- Oct 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 865 | TX | |
| Psychologist | 103T00000X | 20734 | TX | Primary |
Addresses
Primary practice location
4555 Lake Shore Dr
Waco, TX 76710-1814
Mailing address
4555 Lake Shore Dr
Waco, TX 76710-1814
Phone (254) 776-0400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 033135701 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 865 | TX | MD | Addiction (Substance Use Disorder) Counselor |
| 20734 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Mills Nursing and Rehabilitation LP | Past | Accepting new patients | |
| Everhealth ,PLLC | Psychologist | Past | Accepting new patients |
| Lake Shore Center for Psychological Services, P.C. | Psychologist | Past | Accepting new patients |
| Argosy Mental Health Services P a | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adult Mental Health Clinic/Center
- Waco, TX
- NPI 1174860266
-
- Clinical Psychologist
- Lufkin, TX
- NPI 1801833298
-
- Clinical Psychologist
- Waco, TX
- NPI 1467599779
-
- Skilled Nursing Facility
- Valley Mills, TX
- NPI 1285621417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349827200000",
"number": "1033109442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 LAKE SHORE DR",
"city": "WACO",
"state": "TX",
"postal_code": "767101814",
"telephone_number": "254-776-0400",
"fax_number": "254-776-0637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 LAKE SHORE DR",
"city": "WACO",
"state": "TX",
"postal_code": "767101814",
"telephone_number": "254-776-0400",
"fax_number": "254-776-0637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDT",
"first_name": "HENRY",
"middle_name": "D",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2012-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "865",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "20734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "033135701",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.