Active NPI
Jeffrey Wayne Hyde, PH.D
- Clinical Psychologist
- Bloomfield Hills, MI
National Provider Identifier
1841478583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301005918
- Practice address
- 42690 Woodward Ave
Suite 300
Bloomfield Hills, MI 48304-5062 - Phone
- (248) 454-0129
- NPI assigned
- Feb 5, 2008
- Last updated
- Feb 5, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301005918 | MI | Primary |
Addresses
Primary practice location
42690 Woodward Ave
Suite 300
Bloomfield Hills, MI 48304-5062
Mailing address
42690 Woodward Ave
Suite 300
Bloomfield Hills, MI 48304-5062
Phone (248) 454-0129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62-0-F3-4907 | Other | MI | BCBS OF MI |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301005918 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202169600000",
"number": "1841478583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42690 WOODWARD AVE",
"address_2": "SUITE 300",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483045062",
"telephone_number": "248-454-0129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42690 WOODWARD AVE",
"address_2": "SUITE 300",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483045062",
"telephone_number": "248-454-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "JEFFREY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-05",
"last_updated": "2008-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301005918",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "62-0-F3-4907",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
- Tiffany Monique Huffman, FNP-BC
- Steven K Huprich, PHD
- Jennifer Lauren Hurley, M.A., LPC
- Amber Hussain, PA-C
- Maqsood Hussain, RPT
- Craig Hysni, M.D.
- Iep Mco Orthopedic Urgent Care PLLC
- Iha Olma Specialty Service LLC (IHA Obstetrics & Gynecology Bloomfield Hills)
- Radu Gabriel Iliescu, MD
- Melanie Elaine Ilitch, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.