Active NPI
Scott Owen Hickman, PSYD
- Clinical Psychologist
- Keller, TX
National Provider Identifier
1093927667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 33374
- Practice address
- 1664 Keller Pkwy Ste 103
Keller, TX 76248-3760 - Phone
- (817) 253-4686
- NPI assigned
- May 4, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 33374 | TX | Primary |
Addresses
Primary practice location
1664 Keller Pkwy Ste 103
Keller, TX 76248-3760
Mailing address
1664 Keller Pkwy Ste 103
Keller, TX 76248-3760
Phone (817) 253-4686
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33374 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247356800000",
"number": "1093927667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 KELLER PKWY STE 103",
"city": "KELLER",
"state": "TX",
"postal_code": "762483760",
"telephone_number": "817-253-4686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1664 KELLER PKWY STE 103",
"city": "KELLER",
"state": "TX",
"postal_code": "762483760",
"telephone_number": "817-253-4686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "SCOTT",
"middle_name": "OWEN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2009-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "33374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keller, TX
- Hannah Hernandez
- Jacqueline Hernandez, SLP
- Jacob Ryan Herring, DC
- Erin Nicole Herrmann, PA-C
- Lynn Veronica Heselton, RN,PMHCNS-BC
- Hidden Candle, PLLC (Hidden Lakes Counseling)
- Hidden Lakes Health Center PLLC
- Pennie Laine Higdon, MCP, LPC
- Emily Higgins
- Highland Oaks Family Dentistry, PLLC (Highland Oaks Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.