Candace Susan Hawthorne, PHD, OTR/L

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017192 Issued in PA

Practice address

373 Burrows St
Pittsburgh, PA 15213-2201

Phone

(412) 383-1555

NPI assigned

Mar 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1912039918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 OLD CONCORD RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151464848",
            "telephone_number": "412-856-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 BURROWS ST",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152132201",
            "telephone_number": "412-383-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWTHORNE",
        "first_name": "CANDACE",
        "middle_name": "SUSAN",
        "credential": "PHD, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "PA",
            "license": "OC000231L",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA PROVIDER NUMBER",
            "identifier": "01922084",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssia Nicole Hawkins, LSW
• Daniel Robert Hawkins, D.M.D.
• Robert C. Hawkins, LPC
• Anna Hawks
• David Hawranko
• Cheryl Jeanne Hawthorne, M.A.
• Mary E. Hawthorne, CRNP
• William Joseph Hawthorne III, PSY.D.
• David Curtis Hay, D.M.D
• Eli Hay, MD

• Psychologist in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.