Active NPI
Katherine Hyde
- Clinical Social Worker
- East Hartford, CT
National Provider Identifier
1861723868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 215287
- Practice address
- 474 School St
East Hartford, CT 06108-1149 - Phone
- (860) 509-3626
- Fax
- (860) 289-0090
- NPI assigned
- Jan 15, 2010
- Last updated
- Nov 21, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 215287 | MA | Primary |
| Clinical Social Worker | 1041C0700X | 008100 | CT |
Addresses
Primary practice location
474 School St
East Hartford, CT 06108-1149
Mailing address
474 School St
East Hartford, CT 06108-1149
Phone (860) 509-3626
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 215287 | MA | MD | Clinical Social Worker |
| 008100 | CT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Portland Institute for Psychotherapy and Training, LLC | Clinical | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellSpace Maine
- Clinical Social Worker
- Portland, ME
- NPI 1932607801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1861723868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "474 SCHOOL ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061081149",
"telephone_number": "860-509-3626",
"fax_number": "860-289-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "474 SCHOOL ST",
"city": "EAST HARTFORD",
"state": "CT",
"postal_code": "061081149",
"telephone_number": "860-509-3626",
"fax_number": "860-289-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "KATHERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-01-15",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "215287",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CT",
"license": "008100",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.