Organization Active NPI

Martha Nan Hawkes PHP

Doing business as The Medical Psychology Group

  • Clinical Neuropsychologist
  • Germantown, TN
National Provider Identifier
1477544997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
P0000001132 Issued in TN
Legal business name
MARTHA NAN HAWKES PHP
Doing business as
The Medical Psychology Group
Practice address
7655 Poplar Ave
Suite 365
Germantown, TN 38138-3957
Phone
(901) 751-3571
Fax
(901) 751-3572
NPI assigned
Nov 3, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Martha Nan Hawkes, PHD
Title
Neuropsychologist
Phone
(901) 751-3571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103G00000X P0000001132 TN Primary

Addresses

Primary practice location

7655 Poplar Ave
Suite 365
Germantown, TN 38138-3957

Mailing address

7655 Poplar Ave
Suite 365
Germantown, TN 38138-3957
Phone (901) 751-3571

Other names 1

  • The Medical Psychology Group Doing business as

National Provider Directory

National Provider Directory

Locations

7655 Poplar Ave
Ste 365
Germantown, TN 38138
Phone (901) 751-3571

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477544997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7655 POPLAR AVE",
            "address_2": "SUITE 365",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383957",
            "telephone_number": "901-751-3571",
            "fax_number": "901-751-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7655 POPLAR AVE",
            "address_2": "SUITE 365",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381383957",
            "telephone_number": "901-751-3571",
            "fax_number": "901-751-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA NAN HAWKES PHP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAWKES",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "NAN",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "901-751-3571",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "TN",
            "license": "P0000001132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medical Psychology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.