Active NPI
Jonathan Hart, PH.D.
- Health Service Psychologist
- Oklahoma City, OK
National Provider Identifier
1508236787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- 1239
- Practice address
- 3035 NW 63Rd St
Ste 227
Oklahoma City, OK 73116-3632 - Phone
- (405) 242-6460
- NPI assigned
- Oct 1, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | 1239 | OK | Primary |
Addresses
Primary practice location
3035 NW 63Rd St
Ste 227
Oklahoma City, OK 73116-3632
Mailing address
2709 Downing CT
Edmond, OK 73034-6728
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1239 | OK | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443657600000",
"number": "1508236787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 DOWNING CT",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3035 NW 63RD ST",
"address_2": "STE 227",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731163632",
"telephone_number": "405-242-6460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "JONATHAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-01",
"last_updated": "2015-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "OK",
"license": "1239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.