Edd Douglas Easton-Hogg, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

130240 Issued in KY

Practice address

246 E Main St
Beattyville, KY 41311-9369

Phone

(606) 464-3611

NPI assigned

Sep 22, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Western Ky Regional MHMR Board Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paducah, KY
  • NPI 1841216934
  Medicare reassignment NPD

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1376877498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N BROADWAY ST STE 5",
            "city": "BEREA",
            "state": "KY",
            "postal_code": "404032212",
            "telephone_number": "859-779-0616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E MAIN ST",
            "city": "BEATTYVILLE",
            "state": "KY",
            "postal_code": "413119369",
            "telephone_number": "606-464-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTON-HOGG",
        "first_name": "EDD",
        "middle_name": "DOUGLAS",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-22",
        "last_updated": "2024-03-20",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "KY",
            "license": "130240",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "130240",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KY",
            "license": "KY-1778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenna H Coleman
• Marilyn Combs
• Vickie Lou Crabtree, OTR/L
• Leslie Robin Duff, APRN
• Kimberly Dianne Dunaway
• Alyssa C Estes, APRN
• Eyecare Center Optometrist PSC
• Kimberly Lynn Fields
• Barry Foley
• William Jerome Gay, DO

• Clinical Psychologist in Beattyville, KY
• Providers in Beattyville, KY by specialty
• Clinical Psychologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.