Hackett Psychology, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PY60604139 Issued in WA

Legal business name

HACKETT PSYCHOLOGY, PLLC

Practice address

12 N Cheyenne Ave
Tulsa, OK 74103-2215

Phone

(206) 445-0604

Fax

(206) 602-3836

NPI assigned

Feb 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Hackett, PH.D.

Title

Owner

Phone

(206) 445-0604

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1861850604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 N CHEYENNE AVE",
            "address_2": "BOX 042",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74103",
            "telephone_number": "206-445-0604",
            "fax_number": "206-602-3836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 N CHEYENNE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741032215",
            "telephone_number": "206-445-0604",
            "fax_number": "206-602-3836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Olive Way Ste 204",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011726",
            "country_code": "US",
            "telephone_number": "206-329-5255 x319",
            "fax_number": "206-602-3836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HACKETT PSYCHOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-08",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-445-0604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "PY60604139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lela Haase
• Frank Haba
• Jason Edward Haberer, PHARMD
• Michael Ayad Haboubi, D.O.
• Levy Hacker, DO
• Shannon Hackett, PH.D.
• Frank Joseph Hackl, M.D.
• James Wilson Hackler, D.D.S
• Mindy Hackler
• Ronald L Hackler, RPH

• Community/Behavioral Health Agency in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.