Active NPI
Raymond C Hawkins, PHD
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1811918816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 21620
- Practice address
- 314 E Highland Mall Blvd
Ste 305
Austin, TX 78752-3735 - Phone
- (512) 292-1122
- Fax
- (512) 292-1144
- NPI assigned
- Jul 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 21620 | TX | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 21620 | TX |
Addresses
Primary practice location
314 E Highland Mall Blvd
Ste 305
Austin, TX 78752-3735
Mailing address
PO Box 4487
Austin, TX 78765-4487
Phone (512) 292-1122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86944A | Other | TX | BCBS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21620 | TX | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225152000000",
"number": "1811918816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4487",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787654487",
"telephone_number": "512-292-1122",
"fax_number": "512-292-1144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "314 E HIGHLAND MALL BLVD",
"address_2": "STE 305",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787523735",
"telephone_number": "512-292-1122",
"fax_number": "512-292-1144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "RAYMOND",
"middle_name": "C",
"name_prefix": "Prof.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-22",
"last_updated": "2008-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "21620",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TX",
"license": "21620",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "86944A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.