Active NPI
Christopher Hawkey, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1215483839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2956
- Practice address
- 6404 Wilshire Blvd Ste 870
Los Angeles, CA 90048 - Phone
- (800) 624-1475
- Fax
- (800) 624-1475
- NPI assigned
- Sep 1, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2956 | OR | Primary |
Addresses
Primary practice location
6404 Wilshire Blvd Ste 870
Los Angeles, CA 90048
Mailing address
6404 Wilshire Blvd Ste 870
Los Angeles, CA 90048-5531
Phone (800) 624-1475
Other practice location 1
5200 SW Macadam Ave
Ste 580
Portland, OR 97239-3837
Phone (503) 231-7854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Mar 22, 2019 through Mar 22, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2956 | OR | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DBT California | Clinical | Past | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1215483839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6404 WILSHIRE BLVD STE 870",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485531",
"telephone_number": "800-624-1475",
"fax_number": "800-624-1475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6404 WILSHIRE BLVD STE 870",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90048",
"telephone_number": "800-624-1475",
"fax_number": "800-624-1475"
}
],
"practiceLocations": [
{
"address_1": "5200 SW Macadam Ave",
"address_2": "Ste 580",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393837",
"country_code": "US",
"telephone_number": "503-231-7854",
"fax_number": "503-231-8153",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKEY",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-01",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "2956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.