Active NPI
Hackworth & Lopez Enterprises PLLC
- Clinical Child & Adolescent Psychologist
- Austin, TX
National Provider Identifier
1265568331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 31411
- Legal business name
- HACKWORTH & LOPEZ ENTERPRISES PLLC
- Practice address
- 4601 Spicewood Springs Rd
#4-200
Austin, TX 78759-8598 - Phone
- (512) 467-1376
- NPI assigned
- Feb 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samuel R Hackworth, PH.D.
- Title
- Ceo Psychologist
- Phone
- (512) 467-1376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 31411 | TX | Primary |
Addresses
Primary practice location
4601 Spicewood Springs Rd
#4-200
Austin, TX 78759-8598
Mailing address
4601 Spicewood Springs Rd
#4-200
Austin, TX 78759-8598
Other names 1
- Samuel R. Hackworth, Ph.D.
National Provider Directory
National Provider DirectoryLocations
4601 Spicewood Springs Rd
Ste 4200
Austin, TX 78759
Phone (512) 447-5283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265568331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 SPICEWOOD SPRINGS RD",
"address_2": "#4-200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 SPICEWOOD SPRINGS RD",
"address_2": "#4-200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598598",
"telephone_number": "512-467-1376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HACKWORTH & LOPEZ ENTERPRISES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HACKWORTH",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "CEO PSYCHOLOGIST",
"authorized_official_telephone_number": "512-467-1376",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "31411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Samuel R. Hackworth, Ph.D.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.