Paul A Hasak, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

R0022 Issued in MO

Practice address

777 S New Ballas Rd
Suite 331E
Saint Louis, MO 63141-8705

Phone

(314) 569-0655

Fax

(314) 569-0605

NPI assigned

Nov 28, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356324099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 ALTUS PL",
            "city": "KIRKWOOD",
            "state": "MO",
            "postal_code": "631225402",
            "telephone_number": "314-965-6311",
            "fax_number": "314-569-0605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S NEW BALLAS RD",
            "address_2": "SUITE 331E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418705",
            "telephone_number": "314-569-0655",
            "fax_number": "314-569-0605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASAK",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "R0022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "493201610",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonisha Harvey
• Amber Dawn Harwell, M.A.
• Daniel Paul Harwood, MD
• Douglas John Harwood, ACNP
• Jennifer K Hasak, PH.D.
• Stephen Lawler Hasak, MD
• Nausheen Hasan
• Reem Hasan, MD
• Tahira Binte Hasan, M.D.
• Adis Hasanagic, D.D.S.

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.