Active NPI
Edward Scott Hamilton PH D PLLC Distruptive Christian Leadership
- Clinical Psychologist
- Wichita Falls, TX
National Provider Identifier
1891377974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edward Scott Hamilton
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.
-
- Clinical Psychologist
- Nocona, TX
- NPI 1841760659
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.