Individual provider Active NPI

Keith M Hankins, DR

  • Psychologist
  • Waco, TX
National Provider Identifier
1285680603
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23345 Issued in TX
Practice address
8401 Old McGregor Rd
Waco, TX 76712-6495
Phone
(254) 751-1550
Fax
(254) 751-9291
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23345 TX Primary

Addresses

Primary practice location

8401 Old McGregor Rd
Waco, TX 76712-6495

Mailing address

8401 Old McGregor Rd
Waco, TX 76712-6495
Phone (254) 751-1550

Other identifiers 1

IdentifierTypeStateIssuer
030213501MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000576 TX Practitioner - Clinical Psychologist 1850473224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Baylor College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Waco Psychological AssociatesGroup PAC ID 7810078920, 13 clinicians

Practice addresses (Care Compare)

8401 Old McGregor Rd
Waco, TX 76712-6495
Phone (254) 751-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23345TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Waco Psychological Associates Psychologist CurrentSince Sep 12, 2014 Accepting new patients

Locations

8401 Old McGregor Rd
Woodway, TX 76712
Phone (254) 751-1550

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1285680603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126495",
            "telephone_number": "254-751-1550",
            "fax_number": "254-751-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 OLD MCGREGOR RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126495",
            "telephone_number": "254-751-1550",
            "fax_number": "254-751-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKINS",
        "first_name": "KEITH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "23345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "030213501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.