Individual provider Active NPI

Robert Kenneth Hindman, PHD

  • Clinical Psychologist
  • Wynnewood, PA
National Provider Identifier
1053442988
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS017775 Issued in PA
Practice address
1304 Yarmouth Rd
Wynnewood, PA 19096-3641
Phone
(847) 347-4414
NPI assigned
Mar 9, 2007
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS017775 PA Primary

Addresses

Primary practice location

1304 Yarmouth Rd
Wynnewood, PA 19096-3641

Mailing address

1304 Yarmouth Rd
Wynnewood, PA 19096-3641
Phone (847) 347-4414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2015 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS017775PAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation of Cognitive Therapy and Research Clinical Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1053442988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 YARMOUTH RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963641",
            "telephone_number": "847-347-4414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 YARMOUTH RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190963641",
            "telephone_number": "847-347-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINDMAN",
        "first_name": "ROBERT",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS017775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynnewood, PA

Sources for this page

Verify at the official NPI Registry.