Individual provider Active NPI

Elizabeth J Hawkey, PHD

  • Clinical Psychologist
  • Hood River, OR
National Provider Identifier
1346007036
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3829 Issued in OR
Practice address
814 13TH St
Hood River, OR 97031-1210
Phone
(541) 387-6138
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3829 OR Primary

Addresses

Primary practice location

814 13TH St
Hood River, OR 97031-1210

Mailing address

814 13TH St
Hood River, OR 97031-1210
Phone (541) 387-6138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20240508003391 OR Practitioner - Clinical Psychologist 2769823715 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon CurrentSince May 28, 2024 Accepting new patients
Providence Health & Services Oregon CurrentSince Mar 3, 2024 Accepting new patients

Locations

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

1151 May St
Ste 201
Hood River, OR 97031
Phone (541) 387-1300

814 13th St
Hood River, OR 97031
Phone (541) 386-6266

Organizations & group practices 2

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1346007036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311210",
            "telephone_number": "541-387-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 13TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970311210",
            "telephone_number": "541-387-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKEY",
        "first_name": "ELIZABETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.