Individual provider Active NPI

Phillip Barrett Hawley, PSYD

  • Clinical Psychologist
  • Toppenish, WA
National Provider Identifier
1447637384
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY60527677 Issued in WA
Practice address
518 W 1St Ave
Toppenish, WA 98948-1564
Phone
(509) 865-5600
NPI assigned
Apr 29, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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 PY60527677 WA Primary

Addresses

Primary practice location

518 W 1St Ave
Toppenish, WA 98948-1564

Mailing address

510 W 1St Ave
Toppenish, WA 98948-1564
Phone (509) 865-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150616000312 WA Practitioner - Clinical Psychologist 1254642424 Reassigns benefits to 1 organization
I20230724001358 OR Practitioner - Clinical Psychologist 1254642424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Farm Workers ClinicGroup PAC ID 4385541986, 274 clinicians

Practice addresses (Care Compare)

3801 Kern Way
Yakima, WA 98902-6340
Phone (509) 574-3200

510 W 1St Ave
Toppenish, WA 98948-1564
Phone (509) 865-5600

602 E Nob Hill Blvd
Yakima, WA 98901-3534
Phone (509) 248-3334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY60527677WAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Yakima Valley Farm Workers Clinic CurrentSince Jun 1, 2015 Accepting new patients
Yakima Valley Farm Workers Clinic Current Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jun 1, 2015 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jun 1, 2023 Accepting new patients
Yakima Valley Farm Workers Clinic Current Accepting new patients

Locations

589 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717

8935 SE Powell Blvd
Portland, OR 97266
Phone (503) 349-7864

510 W 1st Ave
Toppenish, WA 98948
Phone (509) 865-3355

518 W 1st Ave
Toppenish, WA 98948
Phone (509) 865-5600

3801 Kern Rd
Yakima, WA 98902
Phone (509) 574-3200

Interoperability endpoints

  • Direct secure messaging: phawley8971@yvfwc.direct-ci.com

Organizations & group practices 5

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1447637384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 W 1ST AVE",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481564",
            "telephone_number": "509-865-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 W 1ST AVE",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989481564",
            "telephone_number": "509-865-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "PHILLIP",
        "middle_name": "BARRETT",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60527677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toppenish, WA

Sources for this page

Verify at the official NPI Registry.