DR. SAMUEL HACKWORTH (NPI# 1194928317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194928317 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL HACKWORTH |
| Credential | PH.D. |
| Practice Address |
4601 Spicewood Springs Rd #4-200 Austin TX 78759-8598 |
| Practice Telephone | 5124671376 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
31411 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4601 SPICEWOOD SPRINGS RD #4-200 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-8598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306867924 | Gary Glass | Psychiatry & Neurology | 4601 Spicewood Springs Rd, Building 4, Suite 200, Austin, TX 78759-8598 | 2006-07-21 |
| 1669034740 | Louise Sawaki | Counselor | 4601 Spicewood Springs Rd, Bldg 3 Suite 200, Austin, TX 78759 | 2019-06-28 |
| 1457825655 | Claire Palmer | Counselor | 4601 Spicewood Springs Rd, Austin, TX 78759-8598 | 2019-01-22 |
| 1295039998 | Michelle A Ellisor | Marriage & Family Therapist | 4601 Spicewood Springs Rd, Building 4, Suite 200, Austin, TX 78759-8598 | 2011-01-10 |
| 1689867475 | Lisa Margot Walker | Marriage & Family Therapist | 4601 Spicewood Springs Rd, Austin, TX 78759-8598 | 2007-08-24 |
| 1275757023 | Eleanor Gamble | Social Worker | 4601 Spicewood Springs Rd, Austin, TX 78759-8598 | 2007-04-12 |
| 1467575688 | Mary V Cunningham | Psychologist | 4601 Spicewood Springs Rd, 4-200, Austin, TX 78759-8598 | 2007-04-10 |
| 1740305382 | Ronald Jay Artis | Counselor | 4601 Spicewood Springs Rd, Bldg.4, Ste.200, Austin, TX 78759-8598 | 2007-03-20 |
| 1508993890 | Leslie Sue Hoffman | Social Worker | 4601 Spicewood Springs Rd, Building 4 Suite 200, Austin, TX 78759-8598 | 2007-02-27 |
| 1265568331 | Hackworth & Lopez Enterprises Pllc | Psychologist | 4601 Spicewood Springs Rd, #4-200, Austin, TX 78759-8598 | 2007-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861010126 | Ankita Krishnan | Psychologist | 1601 Trinity St Bldg B, Austin, TX 78712-1765 | 2020-07-13 |
| 1982253555 | Sarah A Koenig | Psychologist | 8500 Shoal Creek Blvd Bldg 4, Austin, TX 78757-7591 | 2019-09-06 |
| 1447669874 | Nicholas Dale Taylor | Psychologist | 8500 Shoal Creek Blvd Ste 201, Austin, TX 78757 | 2014-08-11 |
| 1366697203 | Kim Suzanne Davis | Psychologist | 3724 Jefferson St Ste 207, Austin, TX 78731-6221 | 2008-11-19 |
| 1821252685 | Lynn Monnat | Psychologist | 1600 W 38th St Ste 212, Austin, TX 78731-6405 | 2008-07-10 |
| 1891823373 | Pamela Louise Retterath | Psychologist | 54135 244th St, Austin, MN 55912-5636 | 2007-02-28 |
| 1104836808 | James J Maynard | Psychologist | 500 Grace Lane, Austin, TX 78746 | 2006-08-08 |
| 1235744418 | Ana F. El Behadli Gonzalez | Psychologist | 4900 Mueller Blvd, Austin, TX 78723-3079 | 2020-09-14 |
| 1891264396 | Laura Beth Frame | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-11-14 |
| 1821591231 | Meredith Irene Brinster | Psychologist | 6012 W William Cannon Dr Ste B103, Austin, TX 78749-1978 | 2018-03-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.