Active NPI
Phillip G Hester, PSY.D
- Clinical Psychologist
- Edgewood, KY
National Provider Identifier
1265416713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 659
- Practice address
- 176 Barnwood Dr
Suite B
Edgewood, KY 41017-2501 - Phone
- (859) 331-2500
- Fax
- (859) 331-2532
- NPI assigned
- Nov 29, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 659 | KY | Primary |
Addresses
Primary practice location
176 Barnwood Dr
Suite B
Edgewood, KY 41017-2501
Mailing address
176 Barnwood Dr
Suite B
Edgewood, KY 41017-2501
Phone (859) 331-2500
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 |
|---|---|---|---|
| 0659 | KY | MD | Professional Counselor |
| 659 | KY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1265416713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "176 BARNWOOD DR",
"address_2": "SUITE B",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410172501",
"telephone_number": "859-331-2500",
"fax_number": "859-331-2532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 BARNWOOD DR",
"address_2": "SUITE B",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410172501",
"telephone_number": "859-331-2500",
"fax_number": "859-331-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HESTER",
"first_name": "PHILLIP",
"middle_name": "G",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-29",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.