Roland Hart, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-227 Issued in ID

Practice address

29 Black Coal Dr.
Ft. Washakie, WY 82514-0128

Phone

(307) 332-7300

Fax

(307) 332-3949

NPI assigned

Jan 12, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• US Health Dept of Health & Human Services

  • Federal Public Health Clinic/Center
  • Fort Washakie, WY
  • NPI 1023174299
  NPD (past)
• US Health Dept of Health & Human Services

  • Federal Public Health Clinic/Center
  • Arapahoe, WY
  • NPI 1104976372
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780735357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TIMBERLINE TRL",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825209634",
            "telephone_number": "307-332-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BLACK COAL DR.",
            "city": "FT. WASHAKIE",
            "state": "WY",
            "postal_code": "825140128",
            "telephone_number": "307-332-7300",
            "fax_number": "307-332-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "ROLAND",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ID",
            "license": "PSY-227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Fay Gibson, MLS (MT,CLS)
• Nancy Ann Gilbert, R.N.
• Erica Rose Golon
• Deana Lin Gudmundsen, COTA/L
• Jenaneta S. Hampton, FNP-C
• Elizabeth A. Hastings, LCSW
• James Allan Havens, RN
• Caressa Ann Howell, PTA
• Andrew Foster Huff, DDS
• Rosie L Hughes, R.N.

• Clinical Psychologist in Fort Washakie, WY
• Providers in Fort Washakie, WY by specialty
• Clinical Psychologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.