Organization Active NPI

Hawkins Psychological Services LLC

  • Clinical Psychologist
  • Burke, VA
National Provider Identifier
1710460084
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Authorized official

Name
Leslie Ann Hawkins, PSY.D.NPI 1477833168
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1366591562MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.