Active NPI
Edward Andrew Hayduk, M.S.
- Clinical Psychologist
- Doylestown, PA
National Provider Identifier
1376693671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS-005981-L
- Practice address
- 833 E Butler Ave
Doylestown, PA 18901-2280 - Phone
- (215) 489-3035
- Fax
- (215) 489-3036
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
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 | PS-005981-L | PA | Primary |
Addresses
Primary practice location
833 E Butler Ave
Doylestown, PA 18901-2280
Mailing address
833 E Butler Ave
Doylestown, PA 18901-2280
Phone (215) 489-3035
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS-005981-L | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472169600000",
"number": "1376693671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 E BUTLER AVE",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189012280",
"telephone_number": "215-489-3035",
"fax_number": "215-489-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 E BUTLER AVE",
"city": "DOYLESTOWN",
"state": "PA",
"postal_code": "189012280",
"telephone_number": "215-489-3035",
"fax_number": "215-489-3036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDUK",
"first_name": "EDWARD",
"middle_name": "ANDREW",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2016-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS-005981-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doylestown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.