DR. KEITH HAWKINS (NPI# 1912234311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912234311 |
Entity Type | Individual |
Full Name | DR. KEITH HAWKINS |
Credential | PSY.D. |
Practice Address |
34 Park St New Haven CT 06519-1109 |
Practice Telephone | 2039747831 |
Practice Fax Number | 2039747881 |
Mailing Telephone | 2039747831 |
Mailing Fax Number | 2039747881 |
Enumeration Date | 2009-11-06 |
Last Update Date | 2009-11-06 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | 1536 | CT | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982223244 | Keith Hawkins | Physician Assistant | 8498 Glenview St, Douglasville, GA 30134-5639 | 2020-04-15 |
Street Address |
34 PARK ST |
City | NEW HAVEN |
State | CT |
Zip Code | 06519-1109 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972162170 | Laura Yoviene Sykes | Psychologist | 34 Park St, New Haven, CT 06519-1109 | 2019-06-11 |
1487218228 | Josina Aileen James | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2019-04-26 |
1699245845 | Brittany Quagan | Counselor | 34 Park St, New Haven, CT 06519-1109 | 2018-11-30 |
1750874392 | Vikiana Gray | Counselor | 34 Park St, New Haven, CT 06519-1109 | 2018-06-08 |
1962931030 | Guinell L Stanley | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2017-06-12 |
1629436258 | Michael Suraci | Counselor | 34 Park St, New Haven, CT 06519-1109 | 2016-02-10 |
1093170524 | Jeanne Leblanc | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2015-12-29 |
1326424938 | Mayra A Aguirre | Social Worker | 34 Park St, New Haven, CT 06519-1109 | 2015-08-05 |
1346637360 | Emma Ava Lo | Psychiatry & Neurology | 34 Park St, Acute Services, New Haven, CT 06519 | 2015-04-16 |
1811382872 | Carmen Gabrielle Parker | Psychiatry & Neurology | 34 Park St, New Haven, CT 06519-1109 | 2015-04-06 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255819348 | Jordan Ficocelli | Nurse Practitioner | 800 Howard Ave # 2, New Haven, CT 06519 | 2018-08-01 |
1780123414 | Claire Louise Hardin | General Acute Care Hospital | 95 Howard Ave, New Haven, CT 06519 | 2017-02-14 |
1467809137 | Ana Laura Vives-rodriguez | Student in an Organized Health Care Education/Training Program | 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 | 2016-05-23 |
1346607785 | Amanda Kayte Corcoran | Advanced Practice Midwife | 40 Prince St., Suite 207, New Haven, CT 06519 | 2016-01-15 |
1720491905 | Sara Harcharik Perkins | Dermatology | 2 Church St S Ste 305, New Haven, CT 06519 | 2014-06-05 |
1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
1235549353 | Brandon Michael Kitay | Psychiatry & Neurology | 184 Liberty St # Lv108, New Haven, CT 06519 | 2014-04-28 |
1649526617 | Yale New Haven Hospital | Student in an Organized Health Care Education/Training Program | 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 | 2012-07-27 |
1669736765 | Mayanka Tickoo | Internal Medicine | 300 Cedar St Fl 4, New Haven, CT 06519 | 2012-07-03 |
1730441627 | Judith A Ross | Physical Therapist | 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 | 2012-06-15 |
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Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336476340 | Kay M Long | Clinical Neuropsychologist | 234 Church St Ste 300, New Haven, CT 06510-1800 | 2009-11-11 |
1609927946 | Benjamin Kerman | Clinical Neuropsychologist | 127 Church St, New Haven, CT 06510-2001 | 2007-01-15 |
1598860264 | Somaia Mohamed | Clinical Neuropsychologist | 611 Orange St, New Haven, CT 06511-3826 | 2006-09-14 |
1467945675 | Carmen I Carrion | Clinical Neuropsychologist | 800 Howard Ave Lowr Level, New Haven, CT 06519-1369 | 2018-06-12 |
1679976617 | Christopher Benjamin | Clinical Neuropsychologist | 800 Howard Ave # Ll, New Haven, CT 06519-1369 | 2014-10-06 |
1922416668 | Emily Sharp | Clinical Neuropsychologist | 800 Howard Ave, Ll, New Haven, CT 06519-1369 | 2014-07-25 |
1407270556 | Kimberlee J. Sass, Ph.d., P.C. | Clinical Neuropsychologist | 291 Whitney Ave, Suite 402, New Haven, CT 06511-3724 | 2014-02-10 |
1700179702 | Katherine D Tsatsanis | Clinical Neuropsychologist | 230 S Frontage Rd, New Haven, CT 06519-1124 | 2011-05-24 |
1194940916 | Kimberlee J Sass | Clinical Neuropsychologist | 291 Whitney Ave, Suite 402, New Haven, CT 06511-3724 | 2007-04-16 |
1710078621 | Franklin Christian Brown | Clinical Neuropsychologist | 800 Howard Ave, Lower Level, New Haven, CT 06519-1369 | 2006-09-27 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.