Individual provider Active NPI

Ashley Bruce Hart II, PH.D.

  • Forensic Psychologist
  • Yuma, AZ
National Provider Identifier
1235352352
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
1076 Issued in AZ
Practice address
106 E 1St St
Suite D
Yuma, AZ 85364-1450
Phone
(928) 341-1046
Fax
(928) 341-1048
NPI assigned
Apr 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X 1076 AZ Primary

Addresses

Primary practice location

106 E 1St St
Suite D
Yuma, AZ 85364-1450

Mailing address

106 E 1St St
Suite D
Yuma, AZ 85364-1472
Phone (928) 341-1046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110802000410 AZ Practitioner - Clinical Psychologist 4385813765 Practice locations: Yuma, AZ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

106 E 1St St
Suite D
Yuma, AZ 85364-1472
Phone (928) 341-1046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1076AZMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1235352352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 E 1ST ST",
            "address_2": "SUITE D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641472",
            "telephone_number": "928-341-1046",
            "fax_number": "928-341-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E 1ST ST",
            "address_2": "SUITE D",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853641450",
            "telephone_number": "928-341-1046",
            "fax_number": "928-341-1048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ASHLEY",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "AZ",
            "license": "1076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.