Jerry L. Hart PH.D. Clinical Psychologist P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

306 Issued in AL

Legal business name

JERRY L. HART PH.D. CLINICAL PSYCHOLOGIST P.C.

Practice address

701 University Blvd E
Suite 204
Tuscaloosa, AL 35401-2086

Phone

(205) 556-7145

Fax

(205) 553-9127

NPI assigned

Oct 16, 2007

Organization subpart

No

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

Authorized official

Name

Jerry Lee Hart, PH.D.

Title

President

Phone

(205) 556-7145

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225065600000",
    "number": "1194914101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 204",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-556-7145",
            "fax_number": "205-553-9127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "address_2": "SUITE 204",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-556-7145",
            "fax_number": "205-553-9127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY L. HART PH.D. CLINICAL PSYCHOLOGIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-10-27",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-556-7145",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "AL",
            "license": "306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.