| Gregory Hyde Psyd Llc | |
|
285 W 80th Pl Merrillville IN 46410-5431 | |
| (219) 756-6501 | |
| (219) 756-6635 |
| Full Name | Gregory Hyde Psyd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 285 W 80th Pl, Merrillville, Indiana |
| Authorized Official Name and Position | Gregory Hyde (MANAGING MEMBER) |
| Authorized Official Contact | 2197566501 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory Hyde Psyd Llc 285 W 80th Pl Merrillville IN 46410-5431 Ph: (219) 756-6501 | Gregory Hyde Psyd Llc 285 W 80th Pl Merrillville IN 46410-5431 Ph: (219) 756-6501 |
| NPI Number | 1134233596 |
|---|---|
| Provider Enumeration Date | 08/19/2006 |
| Last Update Date | 07/14/2010 |
| Medicare PECOS PAC ID | 8729035696 |
|---|---|
| Medicare Enrollment ID | O20050401000932 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134233596 | NPI | - | NPPES |
| 000000356954 | Other | IN | ANTHEM BC/BS |
| 200462060 | Medicaid | IN | |
| 90001221 | Other | IL | BC/BS OF ILLINOIS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 20041813A (Indiana) | Primary |
| Provider Name | Gregory Eugene Hyde |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235243619 PECOS PAC ID: 5991752867 Enrollment ID: I20050404001112 |
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