Active NPI
Joseph Garrett Hacker, MA
- Behavior Analyst
- Lake Charles, LA
National Provider Identifier
1760992143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- L-238
- Practice address
- 2519 Ryan St
Lake Charles, LA 70601-7323 - Phone
- (337) 491-0800
- Fax
- (337) 491-0508
- NPI assigned
- Oct 11, 2017
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | L-238 | LA | Primary |
Addresses
Primary practice location
2519 Ryan St
Lake Charles, LA 70601-7323
Mailing address
3805 Placid LN
Lake Charles, LA 70605-6773
Phone (361) 815-4643
Other practice location 1
9150 Bereford Dr
Baton Rouge, LA 70809-2403
Phone (225) 960-7689
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-238 | LA | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lourdes Physician Group LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1760992143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3805 PLACID LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706056773",
"telephone_number": "361-815-4643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 RYAN ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706017323",
"telephone_number": "337-491-0800",
"fax_number": "337-491-0508"
}
],
"practiceLocations": [
{
"address_1": "9150 Bereford Dr",
"address_purpose": "LOCATION",
"city": "Baton Rouge",
"state": "LA",
"postal_code": "708092403",
"country_code": "US",
"telephone_number": "225-960-7689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HACKER",
"first_name": "JOSEPH",
"middle_name": "GARRETT",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-11",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": "LA",
"license": "L-238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.