NPIMap

Organization Active NPI

Hackworth & Lopez Enterprises PLLC

Doing business as Samuel R. Hackworth, Ph.D.

  • Clinical Child & Adolescent Psychologist
  • Austin, TX
National Provider Identifier
1265568331
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
31411 Issued in TX
Legal business name
HACKWORTH & LOPEZ ENTERPRISES PLLC
Doing business as
Samuel R. Hackworth, Ph.D.
Practice address
4601 Spicewood Springs Rd
#4-200
Austin, TX 78759-8598
Phone
(512) 467-1376
NPI assigned
Feb 25, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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.NPI 1194928317
Title
Ceo Psychologist
Phone
(512) 467-1376

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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. Doing business as

National Provider Directory

National Provider Directory

Locations

4601 Spicewood Springs Rd
Ste 4200
Austin, TX 78759
Phone (512) 447-5283

Practitioners & affiliated clinicians

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.

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.

Verify at the official NPI Registry.