Shannon Hackett, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

PY60604139 Issued in WA

Practice address

12 N Cheyenne Ave
Box 042
Tulsa, OK 74103-2215

Phone

(206) 445-0604

Fax

(206) 602-3836

NPI assigned

Aug 16, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1962717884",
    "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": "741032215",
            "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",
            "address_2": "BOX 042",
            "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": "206-726-1878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "SHANNON",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-16",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WA",
            "license": "PY60604139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Haba
• Jason Edward Haberer, PHARMD
• Michael Ayad Haboubi, D.O.
• Levy Hacker, DO
• Hackett Psychology, PLLC
• Frank Joseph Hackl, M.D.
• James Wilson Hackler, D.D.S
• Mindy Hackler
• Ronald L Hackler, RPH
• Sophia Delise Hackney, PA-C

• Counseling Psychologist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counseling Psychologist 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.