Active NPI
Amanda Aaron Hackwell, PHD
- Psychologist
- Phoenix, AZ
National Provider Identifier
1003589169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY-005165
- Practice address
- 11431 N 39TH PL
Phoenix, AZ 85028-2102 - Phone
- (541) 646-6442
- NPI assigned
- Jul 26, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY-005165 | AZ | Primary |
Addresses
Primary practice location
11431 N 39TH PL
Phoenix, AZ 85028-2102
Mailing address
11431 N 39TH PL
Phoenix, AZ 85028-2102
Phone (541) 646-6442
Other practice location 1
2001 W Orange Grove Rd Ste 500
Tucson, AZ 85704-1106
Phone (520) 277-2190
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-005165 | AZ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Developmental Psychology | Psychologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Phoenix, AZ
- NPI 1972449007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1003589169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11431 N 39TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850282102",
"telephone_number": "541-646-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11431 N 39TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850282102",
"telephone_number": "541-646-6442"
}
],
"practiceLocations": [
{
"address_1": "2001 W Orange Grove Rd Ste 500",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857041106",
"country_code": "US",
"telephone_number": "520-277-2190",
"fax_number": "317-520-8200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HACKWELL",
"first_name": "AMANDA",
"middle_name": "AARON",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-26",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "PSY-005165",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.