Cynthia L Hackathorn, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

2011001093 Issued in MO

Practice address

1706 E Elm St
Jefferson City, MO 65102

Phone

(573) 526-2999

NPI assigned

Jul 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1659534386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 CLARK LANE",
            "address_2": "APT 101",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652020034",
            "telephone_number": "405-795-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E ELM ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "65102",
            "telephone_number": "573-526-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKATHORN",
        "first_name": "CYNTHIA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-02",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2011001093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Louise Guerrero
• Deborah J Gullic, PT, LAT, ATC
• Victoria Gunn, M.D.
• Kristina Gupta
• Venkata Siva Reddy Guvva, BDS,PROSTHODONTICS
• Shadi Maher Haddadin, MD
• Akosua Serwaa Hagan, APRN, RN
• Jason Scott Hagely, M.D.
• Lindsey Hagerman
• Steven L. Hahn, MD

• Psychologist in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; 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.