Individual provider Active NPI

Alexavery Rainer Hawkins, PSYCHOLOGIST

  • Psychologist
  • Dallas, TX
National Provider Identifier
1356944938
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38433 Issued in TX
Practice address
12720 Hillcrest Rd Ste 106
Dallas, TX 75230-7121
Phone
(469) 505-3620
NPI assigned
Nov 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 38433 TX Primary

Addresses

Primary practice location

12720 Hillcrest Rd Ste 106
Dallas, TX 75230-7121

Mailing address

12720 Hillcrest Rd Ste 106
Dallas, TX 75230-7121
Phone (469) 505-3620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
38433TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Empowered Healing Dallas CurrentSince Oct 16, 2022 Accepting new patients

Locations

12720 Hillcrest Rd
Ste 106
Dallas, TX 75230
Phone (214) 417-5328

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": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1356944938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12720 HILLCREST RD STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752307121",
            "telephone_number": "469-505-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12720 HILLCREST RD STE 106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752307121",
            "telephone_number": "469-505-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "ALEXAVERY",
        "middle_name": "RAINER",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.