Active NPI
Ricky D. Hawks, ED.D.
- Psychologist
- Ogden, UT
National Provider Identifier
1063741429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 115258-2501
- Practice address
- 5677 S 1475 E
Suite 4a
Ogden, UT 84403-7032 - Phone
- (801) 621-6032
- Fax
- (801) 409-0905
- NPI assigned
- Dec 15, 2009
- Last updated
- Dec 15, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 | 115258-2501 | UT | Primary |
Addresses
Primary practice location
5677 S 1475 E
Suite 4a
Ogden, UT 84403-7032
Mailing address
2730 N 850 E
North Ogden, UT 84414-2414
Phone (801) 782-3551
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87-0549642 | Other | UT | SIN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115258-2501 | UT | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1063741429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2730 N 850 E",
"city": "NORTH OGDEN",
"state": "UT",
"postal_code": "844142414",
"telephone_number": "801-782-3551",
"fax_number": "801-782-3551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5677 S 1475 E",
"address_2": "SUITE 4A",
"city": "OGDEN",
"state": "UT",
"postal_code": "844037032",
"telephone_number": "801-621-6032",
"fax_number": "801-409-0905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKS",
"first_name": "RICKY",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-15",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "UT",
"license": "115258-2501",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIN",
"identifier": "87-0549642",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ogden, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.