Active NPI
Philip Carlton Hyde, PH.D.
- Psychologist
- Oklahoma City, OK
National Provider Identifier
1275601544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 215
- Practice address
- 1117 NW 50TH St
Oklahoma City, OK 73118-4401 - Phone
- (405) 842-4435
- Fax
- (405) 842-2846
- NPI assigned
- Dec 2, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 215 | OK | Primary |
Addresses
Primary practice location
1117 NW 50TH St
Oklahoma City, OK 73118-4401
Mailing address
1117 NW 50TH St
Oklahoma City, OK 73118-4401
Phone (405) 842-4435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100837830A | Medicaid | OK |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215 | OK | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307059200000",
"number": "1275601544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 NW 50TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184401",
"telephone_number": "405-842-4435",
"fax_number": "405-842-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 NW 50TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731184401",
"telephone_number": "405-842-4435",
"fax_number": "405-842-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "PHILIP",
"middle_name": "CARLTON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-02",
"last_updated": "2011-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OK",
"license": "215",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100837830A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.