Lewis P Hackett, PH.D. LCP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810005622 Issued in VA

Practice address

3114 Floyd Ave Apt a
Richmond, VA 23221-2902

Phone

(734) 422-9340

Fax

(734) 422-9353

NPI assigned

Dec 8, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1992034706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12850 FOUNTAIN SQ",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502552",
            "telephone_number": "248-634-6303",
            "fax_number": "248-634-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 FLOYD AVE APT A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232212902",
            "telephone_number": "734-422-9340",
            "fax_number": "734-422-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKETT",
        "first_name": "LEWIS",
        "middle_name": "P",
        "credential": "PH.D. LCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-12-08",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810005622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "750910401",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saima Zehra Habib, M.D.
• Karissa L Hackelton, MD
• Charles Jefferson Hackett Jr., DDS
• Judeah Hackett
• Laurel Hackett, PT
• Mary Helen Hackney, M.D.
• Valerie Floretta Hackney
• Joseph Benny Haddad, MD
• Raymond G Haddad, M.D.
• Victoria Haddaway, CF-SLP

• Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.