Active NPI
Jessica Ann Hardin, M.S., PSYS
- School Psychologist
- Bismarck, ND
National Provider Identifier
1467608737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 4071981
- Practice address
- 1218 Simle Dr
Bismarck, ND 58501-2981 - Phone
- (701) 323-4600
- NPI assigned
- Aug 18, 2008
- Last updated
- Sep 6, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 4071981 | AZ | Primary |
Addresses
Primary practice location
1218 Simle Dr
Bismarck, ND 58501-2981
Mailing address
128 Soo Line Dr
Bismarck, ND 58501-3339
Phone (701) 323-4000
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 |
|---|---|---|---|
| 4071981 | AZ | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Bismarck | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1467608737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 SOO LINE DR",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585013339",
"telephone_number": "701-323-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1218 SIMLE DR",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585012981",
"telephone_number": "701-323-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDIN",
"first_name": "JESSICA",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "M.S., PSYS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "AZ",
"license": "4071981",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.