DR. JOHN L HAWLEY JR. PH.D.
NPI 1053452078
Psychologist - Clinical in Sterling, VA
NPI Status: Active since February 11, 2007
Contact Information
6 PIDGEON HILL DR
SUITE 260
STERLING, VA
ZIP 20165
Phone: (703) 850-7300
Fax: (703) 430-9570
- Individual
- Male
- Years of Experience 44
- Psychologist
- Clinical
- May Accept Medicare Approved Payment
- PECOS Enrolled
About JOHN HAWLEY
This page provides the complete NPI Profile along with additional information for John Hawley, a provider established in Sterling, Virginia with a medical specialization in Psychologist, focusing in clinical and more than 44 years of experience. The healthcare provider is registered in the NPI registry with number 1053452078 assigned on February 2007. The practitioner's primary taxonomy code is 103TC0700X with license number 0810001126 (VA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1053452078
- Provider Name
- DR. JOHN L HAWLEY JR. PH.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 6 PIDGEON HILL DR SUITE 260 STERLING, VA 20165
- Location Phone
- (703) 850-7300
- Location Fax
- (703) 430-9570
- Mailing Address
- 202 HAWKINS LN POTOMAC FALLS, VA 20165
- Mailing Phone
- (703) 850-7300
- Mailing Fax
- (703) 430-9570
- Medical School Name
- OTHER
- Graduation Year
- 1982
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-11-2007
- Last Update Date
- 11-10-2023
- Code Navigator
A clinical psychologist like John Hawley assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 0810001126
- License State
- VA
- Taxonomy Description
- A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 103TA0400X | Behavioral Health & Social Service Providers | Psychologist | 0810001126 (VA) |
| 2 | 103TC2200X | Behavioral Health & Social Service Providers | Psychologist | 0810001126 (VA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7713649 | MEDICAID (05) | VA | |
| 214975 | OTHER (01) | VA | ANTHEM BCBS |
| 452614 | OTHER (01) | VA | MAMSI UNITEDHEALTHCARE |
Medicare Participation & PECOS Enrollment Status
John Hawley is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
John Hawley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3779815519
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20191029001965
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 20165 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $170.3
- Minimum New Patient Price $56.19
- Maximum New Patient Price $170.3
- Average New Patient Copayment $42.57
- Minimum New Patient Copayment $14.04
- Maximum New Patient Copayment $42.57
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $99.13
- Minimum Established Patient Price $18.07
- Maximum Established Patient Price $138.91
- Average Established Patient Copayment $24.78
- Minimum Established Patient Copayment $4.51
- Maximum Established Patient Copayment $34.72
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for DR. JOHN L HAWLEY JR. PH.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 5 | 3 | 4 | 5 | 2 | 0 | 7 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 10 | 3 | 8 | 5 | 4 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 0 + 3 + 8 + 5 + 4 + 0 + 1 + 4 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1053452078 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
DR. ANH DAI KIM NGUYEN MD
Allergy & Immunology
(Allergy)
6 PIDGEON HILL DR
SUITE 205
STERLING, VA
ZIP 20165
ADVANCE HOME HEALTH CARE, LLC
Home Health
6 PIDGEON HILL DR
SUITE 130-A
STERLING, VA
ZIP 20165
BHAVINI TRIVEDI MD
Allergy & Immunology
6 PIDGEON HILL DR
SUITE 205
STERLING, VA
ZIP 20165
DR. RONALD JAY GARSON M.D.
Psychiatry & Neurology
(Psychiatry)
6 PIDGEON HILL DR
# 260
STERLING, VA
ZIP 20165
MARY COMBEMALE LCSW
Social Worker
(Clinical)
6 PIDGEON HILL DR
SUITE 260
STERLING, VA
ZIP 20165
SHARON WATSON LPC,LMFT,LSATP,NCC
Counselor
6 PIDGEON HILL DR
SUITE 200
STERLING, VA
ZIP 20165
DR. MICHELLE WILLIAMS MD
Pediatrics
6 PIDGEON HILL DR
SUITE 170
STERLING, VA
ZIP 20165
MRS. MAUREEN ANNE GILL LCSW
Social Worker
(Clinical)
6 PIDGEON HILL DR
SUITE 260
STERLING, VA
ZIP 20165
MS. BETTE J SCHMIDT L.C.S.W
Social Worker
(Clinical)
6 PIDGEON HILL DR
SUITE 200
STERLING, VA
ZIP 20165
ERIKA CARLSON MSW
Social Worker
6 PIDGEON HILL DR
SUITE 200
STERLING, VA
ZIP 20165
SHARON L WILLIAMS
Community/Behavioral Health
6 PIDGEON HILL DR
SUITE 200
STERLING, VA
ZIP 20165
DIANE RAMIA
Counselor
(Mental Health)
6 PIDGEON HILL DR
SUITE 200
STERLING, VA
ZIP 20165
DR. MADHU BHATIA M.D.
Psychiatry & Neurology
(Psychiatry)
6 PIDGEON HILL DR
SUITE 260
STERLING, VA
ZIP 20165
LINDSAY MOFFATT
Counselor
(Professional)
6 PIDGEON HILL DR
STERLING, VA
ZIP 20165
RESTON PEDIATRIC ASSOCIATES, LTD
Clinic/Center
(Primary Care)
6 PIDGEON HILL DR
SUITE 170,180
STERLING, VA
ZIP 20165
FAMILY ALLERGY & ASTHMA ASSOCIATES
Allergy & Immunology
6 PIDGEON HILL DR
SUITE 205
STERLING, VA
ZIP 20165
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053452078, enumerated as an "individual" on February 11, 2007.
The provider is located at 6 PIDGEON HILL DR SUITE 260 STERLING, VA 20165 and the phone number is (703) 850-7300.
Psychologist with taxonomy code 103TC0700X and a focus in Clinical.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.
