DR. DOUGLAS J HART PH.D. NPI 1790785723

NPI Information

NPI: 1790785723
Provider Name: DR. DOUGLAS J HART, PH.D.
Classification: Psychologist - 103TC0700X
Specialization: Clinical
Entity Type: Individual
PECOS Registration: Yes
Address: 3950 CENTRAL AVE
MEMPHIS, TN
ZIP 38111
Phone: (901) 458-6291

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NPI Details

DR. Douglas J Hart, PH.D. is a clinical psychologist in Memphis, TN with 42 years of experience. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Douglas J Hart, PH.D. NPI is 1790785723. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3950 CENTRAL AVE
MEMPHIS, TN
ZIP 38111-602
Phone: (901) 458-6291
Fax: (901) 323-4848

The NPI 1790785723 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Psychotherapy, 45 minutes (HCPCS:90834)
Psychiatric diagnostic evaluation (HCPCS:90791)

The enumeration date for this NPI number is 8/1/2005 and was last updated on 2/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TB0200X	Psychologist	Cognitive & Behavioral	P0000001092	TENNESSEE	No
2	103TA0700X	Psychologist	Adult Development & Aging	P0000001092	TENNESSEE	No
3	103TC2200X	Psychologist	Clinical Child & Adolescent	P0000001092	TENNESSEE	No
4	103TF0000X	Psychologist	Family	P0000001092	TENNESSEE	No
5	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	P0000001092	TENNESSEE	No
6	103TC0700X	Psychologist	Clinical	P0000001092	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3982312	MEDICARE PIN	TENNESSEE
2	59964	OTHER	TENNESSEE	CIGNA
3	0044740	OTHER	TENNESSEE	TN BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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