Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063448918 Individual Practitioner Male Practitioner

Dr. Bruce Patrick Hackworth , PhD

Psychologist • Saint Joseph, MI

Professional Overview & Biography Verified Profile Summary

Dr. Bruce Hackworth, PhD is a certified Psychologist practicing in Saint Joseph, MI. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Hackworth delivers high-quality medical care to the local community at 811 SHIP ST.

Dr. Hackworth is affiliated with Lighthouse Behavioral Health Pllc and does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

811 Ship St
Suite 4b

Saint Joseph, MI 490851171

Telephone 2699853618
Fax 2696096009
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Saint Joseph, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +4.4 yrs vs City Avg
City Avg: 25.6 Yrs
State Avg: 26.4 Yrs
Regional Practice Density
12 Specialists

Practicing in Saint Joseph, MI (2669 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hackworth (30 Years) 30 Yrs
Saint Joseph Specialty Average (25.6 Years) 25.6 Yrs

Medical Specialties & State Licenses

Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License MI 6801018724

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1716175 (MI)
Commercial Insurance / Payer ID Lighthouse Behavioral Health Pllc - Group Npi
1699155226 (MI)

Hospital & Practice Group Affiliations

Lighthouse Behavioral Health Pllc

811 Ship St, Saint Joseph, MI 490851171

Phone: 2699853618

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Gale Hackworth , PhD

Psychologist - Clinical

NPI 1710519376

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 01, 2016

Registered at 811 SHIP ST, SUITE 4B, SAINT JOSEPH, MI 490851171 (Tel: 2699853618)

📍
Updated Business Mailing Address January 01, 2016

Registered at 811 SHIP ST, SUITE 4B, SAINT JOSEPH, MI 490851171 (Tel: 2699853618)

👤
Provider Name / Credentials Updated January 01, 2016

Recorded as BRUCE HACKWORTH, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2016

Psychologist (License #6801018724 in MI)

🟢
Initial NPI Registration & Enumeration June 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063448918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 23, 2006
Last Update: January 01, 2016
Sole Proprietor: No

Mailing Address

811 Ship St, Suite 4b

Saint Joseph, MI 490851171

Phone: 2699853618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.