Individual provider Active NPI

Sandra Jean Hart, PHD

  • Psychologist
  • Philadelphia, PA
National Provider Identifier
1609824150
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS002198L Issued in PA
Practice address
255 South 17TH Street #2708
The Medical Tower Building
Philadelphia, PA 19103-6228
Phone
(215) 545-7207
Fax
(215) 735-2447
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS002198L PA Primary

Addresses

Primary practice location

255 South 17TH Street #2708
The Medical Tower Building
Philadelphia, PA 19103-6228

Mailing address

502 South 25TH Street
Philadelphia, PA 19146-1018
Phone (215) 790-0665

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1609824150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SOUTH 25TH STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461018",
            "telephone_number": "215-790-0665",
            "fax_number": "215-735-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SOUTH 17TH STREET #2708",
            "address_2": "THE MEDICAL TOWER BUILDING",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036228",
            "telephone_number": "215-545-7207",
            "fax_number": "215-735-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS002198L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.