Organization Active NPI

Edward Scott Hamilton PH D PLLC Distruptive Christian Leadership

  • Clinical Psychologist
  • Wichita Falls, TX
National Provider Identifier
1891377974
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
EDWARD SCOTT HAMILTON PH D PLLC DISTRUPTIVE CHRISTIAN LEADERSHIP
Practice address
710 Lamar St Ste 440a
Wichita Falls, TX 76301-6837
Phone
(940) 247-0595
NPI assigned
Apr 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Authorized official

Name
Edward Scott HamiltonNPI 1841760659
Title
Owner
Phone
(940) 247-0595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

710 Lamar St Ste 440a
Wichita Falls, TX 76301-6837

Mailing address

208 Poplar St # T
Nocona, TX 76255-1212

National Provider Directory

National Provider Directory

Locations

710 Lamar St
Ste 440A
Wichita Falls, TX 76301
Phone (940) 247-0595

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1891377974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 POPLAR ST # T",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762551212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 LAMAR ST STE 440A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763016837",
            "telephone_number": "940-247-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD SCOTT HAMILTON PH D PLLC DISTRUPTIVE CHRISTIAN LEADERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "940-247-0595"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.