Individual provider Active NPI

Wendy Suzanne Hart, PH.D.

  • Clinical Psychologist
  • Mesa, AZ
National Provider Identifier
1801996350
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2039 Issued in AZ
Practice address
2222 S Dobson Rd
Suite 1004
Mesa, AZ 85202-6481
Phone
(480) 775-8811
Fax
(480) 775-8866
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2039 AZ Primary

Addresses

Primary practice location

2222 S Dobson Rd
Suite 1004
Mesa, AZ 85202-6481

Mailing address

2222 S Dobson Rd
Suite 1004
Mesa, AZ 85202-6481
Phone (480) 775-8811

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

LicenseStateTypeSpecialty
2039AZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Warren R. Littleford, PHD, PC Psychologist 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1801996350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S DOBSON RD",
            "address_2": "SUITE 1004",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026481",
            "telephone_number": "480-775-8811",
            "fax_number": "480-775-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S DOBSON RD",
            "address_2": "SUITE 1004",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852026481",
            "telephone_number": "480-775-8811",
            "fax_number": "480-775-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "WENDY",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "2039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.