Individual provider Active NPI

Cynthia Anne Hockett, PH.D.

  • Clinical Psychologist
  • East Lansing, MI
National Provider Identifier
1790751121
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006955 Issued in MI
Practice address
1530 Ridgewood Dr
East Lansing, MI 48823-2937
Phone
(517) 351-8899
Fax
(517) 333-8777
NPI assigned
Feb 25, 2006
Last updated
Mar 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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 6301006955 MI Primary

Addresses

Primary practice location

1530 Ridgewood Dr
East Lansing, MI 48823-2937

Mailing address

1530 Ridgewood Dr
East Lansing, MI 48823-2937
Phone (517) 351-8899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070607000039 MI Practitioner - Clinical Psychologist 2365540861 Practice locations: East Lansing, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1530 Ridgewood Dr
East Lansing, MI 48823-2937
Phone (517) 214-8495

415 W Grand River Ave
East Lansing, MI 48823-4201
Phone (517) 351-8899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Lion Heart Psychiatry, PLLC Past Accepting new patients
Kmkimmerly Counseling LLC Past 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": "1140825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1790751121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 RIDGEWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232937",
            "telephone_number": "517-351-8899",
            "fax_number": "517-333-8777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 RIDGEWOOD DR",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232937",
            "telephone_number": "517-351-8899",
            "fax_number": "517-333-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKETT",
        "first_name": "CYNTHIA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-25",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.