Active NPI
Hawkins Psychological Services LLC
- Clinical Psychologist
- Burke, VA
National Provider Identifier
1710460084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- HAWKINS PSYCHOLOGICAL SERVICES LLC
- Practice address
- 5272 Lyngate CT Ste 201
Burke, VA 22015-1688 - Phone
- (757) 718-3613
- NPI assigned
- Sep 12, 2018
- Last updated
- May 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leslie Ann Hawkins, PSY.D.
- Title
- Owner/Clinical Psychologist
- Phone
- (757) 718-3613
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | NU | Primary |
Addresses
Primary practice location
5272 Lyngate CT Ste 201
Burke, VA 22015-1688
Mailing address
5272 Lyngate CT Ste 201
Burke, VA 22015-1688
Phone (757) 267-9482
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366591562 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
5272 Lyngate Ct
Ste 201
Burke, VA 22015
Phone (301) 404-2111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Fairfax, VA
- NPI 1477833168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557446400000",
"number": "1710460084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5272 LYNGATE CT STE 201",
"city": "BURKE",
"state": "VA",
"postal_code": "220151688",
"telephone_number": "757-267-9482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5272 LYNGATE CT STE 201",
"city": "BURKE",
"state": "VA",
"postal_code": "220151688",
"telephone_number": "757-718-3613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWKINS PSYCHOLOGICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-12",
"last_updated": "2019-05-10",
"status": "A",
"authorized_official_last_name": "HAWKINS",
"authorized_official_first_name": "LESLIE",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "757-718-3613",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366591562",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burke, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.