Individual provider Active NPI

Gary C Hawley, PSY.D.

  • Clinical Psychologist
  • McConnell AFB, KS
National Provider Identifier
1730122300
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP 1206 Issued in KS
Practice address
57950 Leavenworth St
McConnell AFB, KS 67221-3506
Phone
(316) 759-5095
NPI assigned
Jun 13, 2006
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 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 LP 1206 KS Primary

Addresses

Primary practice location

57950 Leavenworth St
McConnell AFB, KS 67221-3506

Mailing address

57950 Leavenworth St
McConnell AFB, KS 67221-3506
Phone (316) 759-5095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LP 1206KSMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
South Central Mental Health Counseling Center, Inc. Clinical Past Accepting new patients
South Central Mental Health Counseling Center, Inc. PastSince Dec 3, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1730122300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213506",
            "telephone_number": "316-759-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57950 LEAVENWORTH ST",
            "city": "MCCONNELL AFB",
            "state": "KS",
            "postal_code": "672213506",
            "telephone_number": "316-759-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "GARY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP 1206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McConnell AFB, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.