Gabrielle P. Hackett, Psy.D., LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY9507 Issued in FL

Legal business name

GABRIELLE P. HACKETT, PSY.D., LLC

Practice address

1575 Indian River Blvd Ste C225
Vero Beach, FL 32960-7127

Phone

(954) 812-3482

Fax

(954) 900-1197

NPI assigned

Feb 4, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gabrielle Paige Hackett, PSY.D.NPI 1407200645

Title

Owner

Phone

(954) 812-3482

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gabrielle Paige Hackett, PSY.D.

  • Psychologist
  • Vero Beach, FL
  • NPI 1407200645
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1194263632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18601 TRANQUILITY BASE LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349873236",
            "telephone_number": "954-812-3482",
            "fax_number": "954-900-1197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 INDIAN RIVER BLVD STE C225",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329607127",
            "telephone_number": "954-812-3482",
            "fax_number": "954-900-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIELLE P. HACKETT, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-04",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-812-3482",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY9507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gab Medical Group PA
• Chelsea Gabeler
• Roberto Santiago Gabitto, DO
• Anne Marie Gabor, M.A., BCBA
• Gabrielle Hinton OD LLC
• Amir Kamal Gad, RPH
• Lauren Gaffney
• Michelle Gage
• Karen Gagliano, FNP
• Sharon Clare Gahan, CRNA

• Clinical Psychologist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.