Bridget Hurt, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2000159806 Issued in MO

Practice address

907 N Main St
Poplar Bluff, MO 63901-4300

Phone

(573) 776-6236

Fax

(573) 776-6236

NPI assigned

Jan 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Psychologist

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridget Hurt, Psy.D. & Associates LLC

  • Clinical Psychologist
  • Poplar Bluff, MO
  • NPI 1174700868
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1136246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1316925217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N MAIN ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014300",
            "telephone_number": "573-776-6236",
            "fax_number": "573-776-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N MAIN ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639014300",
            "telephone_number": "573-776-6236",
            "fax_number": "573-776-6236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURT",
        "first_name": "BRIDGET",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-03",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2000159806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "495011835",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "25214",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "180879",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Baz S Hundal, MD
• Chun K. Hung, M.D.
• Mark Anthony Hunt Sr., BS PSYCHOLOGY
• Bonnie Marie Hunter
• Nathan Hurst, OD
• Denise B Hutchinson
• Laurence Dow Hutchinson, M.D.
• Skye Marie Hutchison
• Kristal Renae Hutson, MSW
• Patrick Hyatt, PHARMD

• Clinical Psychologist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.