Active NPI
Philip Bronson Hatfield, PH.D.
- Clinical Psychologist
- Huntington, WV
National Provider Identifier
1871575803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3086
- Practice address
- 1540 Spring Valley Drive
Huntington Veterans Affairs Medical Center
Huntington, WV 25704 - Phone
- (304) 429-6741
- NPI assigned
- Nov 16, 2005
- Sex
- Male
- Sole proprietor
- No
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 | 3086 | NC | Primary |
Addresses
Primary practice location
1540 Spring Valley Drive
Huntington Veterans Affairs Medical Center
Huntington, WV 25704
Mailing address
101 Vista LN
Hurricane, WV 25526-9067
Phone (910) 992-4362
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 |
|---|---|---|---|
| 3086 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastalcare | 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.
-
- Community/Behavioral Health Agency
- Wilmington, NC
- NPI 1316006075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1871575803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 VISTA LN",
"city": "HURRICANE",
"state": "WV",
"postal_code": "255269067",
"telephone_number": "910-992-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 SPRING VALLEY DRIVE",
"address_2": "HUNTINGTON VETERANS AFFAIRS MEDICAL CENTER",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25704",
"telephone_number": "304-429-6741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATFIELD",
"first_name": "PHILIP",
"middle_name": "BRONSON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-16",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "3086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.