Active NPI
Bettie W. Hardy, PH.D.
- Psychologist
- Dallas, TX
National Provider Identifier
1184842866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 22552
- Practice address
- 5646 Milton St
Suite 412
Dallas, TX 75206-3907 - Phone
- (214) 526-3675
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 22552 | TX | Primary |
Addresses
Primary practice location
5646 Milton St
Suite 412
Dallas, TX 75206-3907
Mailing address
3222 Saint Johns Dr
Dallas, TX 75205-2919
Phone (214) 526-3675
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 |
|---|---|---|---|
| 22552 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184842866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3222 SAINT JOHNS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752052919",
"telephone_number": "214-526-3675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5646 MILTON ST",
"address_2": "SUITE 412",
"city": "DALLAS",
"state": "TX",
"postal_code": "752063907",
"telephone_number": "214-526-3675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDY",
"first_name": "BETTIE",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "22552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.