Organization Active NPI

Edward J. Hyman, PH.D. a Professional Psychological Corporation

  • Clinical Psychologist
  • Muir Beach, CA
National Provider Identifier
1942635859
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY5684 Issued in CA
Legal business name
EDWARD J. HYMAN, PH.D. A PROFESSIONAL PSYCHOLOGICAL CORPORATION
Practice address
39 Seacape Dr
Muir Beach, CA 94965-9760
Phone
(415) 388-4479
Fax
(415) 388-5009
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Dr. Edward J Hyman, PH.D.NPI 1720295090
Title
President
Phone
(415) 388-4479

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 PSY5684 CA Primary

Addresses

Primary practice location

39 Seacape Dr
Muir Beach, CA 94965-9760

Mailing address

39 Seacape Dr
Muir Beach, CA 94965-9760
Phone (415) 388-4479

Other identifiers 2

IdentifierTypeStateIssuer
PSY884OtherHIPSYCHOLOGY LICENSE
PSY5684OtherCAPSYCHOLOGY LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1942635859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 SEACAPE DR",
            "city": "MUIR BEACH",
            "state": "CA",
            "postal_code": "949659760",
            "telephone_number": "415-388-4479",
            "fax_number": "415-388-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 SEACAPE DR",
            "city": "MUIR BEACH",
            "state": "CA",
            "postal_code": "949659760",
            "telephone_number": "415-388-4479",
            "fax_number": "415-388-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. HYMAN, PH.D. A PROFESSIONAL PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-388-4479",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY884",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGY LICENSE",
            "identifier": "PSY5684",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muir Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.

Verify at the official NPI Registry.