Active NPI
Hydie L. Henson Digiovanni, PSY.D.
- Psychologist
- Cottonwood, AZ
National Provider Identifier
1619780640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-005541
- Practice address
- 4015 E Pueblo Rd
Cottonwood, AZ 86326-5738 - Phone
- (928) 202-2406
- NPI assigned
- Jan 31, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-005541 | AZ | Primary |
Addresses
Primary practice location
4015 E Pueblo Rd
Cottonwood, AZ 86326-5738
Mailing address
989 S Main St Ste A484
Cottonwood, AZ 86326-4601
Phone (928) 202-2406
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-005541 | AZ | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738281600000",
"number": "1619780640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "989 S MAIN ST STE A484",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863264601",
"telephone_number": "928-202-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4015 E PUEBLO RD",
"city": "COTTONWOOD",
"state": "AZ",
"postal_code": "863265738",
"telephone_number": "928-202-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIGIOVANNI",
"first_name": "HYDIE",
"middle_name": "L. HENSON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-31",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY-005541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottonwood, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.