Daniel Alexander Hardwick, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P0000002458 Issued in TN

Practice address

112 Beech St
Gate City, VA 24251-3638

Phone

(276) 386-3803

NPI assigned

Mar 9, 2006

Last updated

Mar 29, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: daniel.hardwick.1@30520.direct.athenahealth.com

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

• Abingdon Psychological Services

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  • NPI 1790886075
  NPD (past)
• T Med Behavioral Inc

  • Clinical Psychologist
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  • NPI 1497719272
  NPD (past)
• Pain Medicine Associates, P.C.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Johnson City, TN
  • NPI 1477594364
  NPD (past)
• Pain Medicine Associates, P.C.

  • Psychologist
  • Johnson City, TN
  • NPI 1962655696
  NPD (past)
• Wayne E. Tasker and Associates, Inc.

  • Clinical Social Worker
  • Morristown, TN
  • NPI 1295974319
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301356800000",
    "number": "1346218914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 PENNSYLVANIA AVE",
            "city": "BRISTOL",
            "state": "TN",
            "postal_code": "376203818",
            "telephone_number": "423-967-0784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BEECH ST",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242513638",
            "telephone_number": "276-386-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDWICK",
        "first_name": "DANIEL",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2011-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003100",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "P0000002458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010046394",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristi Gilliam, LMSW
• Brooke Ann Goldizen, CCC-SLP
• Rebecca Ann Hagy, RN
• William Tyler Halstead, PHARMD
• Nora L Hardison
• Donna Jo Hardy, MS, CCC-SLP
• Lisa M Hazlett, SLP
• Alyssa Martin Henry, M.S., CCC-SLP
• Jennifer Gail Hill, BS
• Jane C Hilt, MED MA

• Clinical Psychologist in Gate City, VA
• Providers in Gate City, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.

Verify at the official NPI Registry.