Robert W. Hagebak, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

ROBERT W. HAGEBAK, PH.D.

Practice address

502 Woodland Park Dr
Marble Falls, TX 78654-4659

Phone

(830) 693-5360

NPI assigned

Mar 31, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Sharon Dileo

Title

Director/Adminsitrator

Phone

(505) 692-9697

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Hagebak, PH.D.

  • Clinical Psychologist
  • Marble Falls, TX
  • NPI 1548620321
  NPD (past)

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1225491822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WOODLAND PARK DR",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544659",
            "telephone_number": "830-693-5360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WOODLAND PARK DR",
            "city": "MARBLE FALLS",
            "state": "TX",
            "postal_code": "786544659",
            "telephone_number": "830-693-5360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. HAGEBAK, PH.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "DILEO",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "DIRECTOR/ADMINSITRATOR",
        "authorized_official_telephone_number": "505-692-9697",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Marble Falls, TX
• Providers in Marble Falls, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.