DUSTY RENEE HACKLER PHD
NPI 1487168357
Psychologist - Clinical Child & Adolescent in Maple Grove, MN

Active since November 29, 2017PECOS Enrolled
9555 UPLAND LN N, MAPLE GROVE, MN 55369(952) 993-3307 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dusty Renee Hackler Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DUSTY RENEE HACKLER PHD (NPI 1487168357) is an individual clinical child & adolescent provider in Maple Grove, Minnesota, licensed in Minnesota (LP6194) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487168357
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDUSTY RENEE HACKLERCredential: PHD
Location Address9555 UPLAND LN NMaple Grove, MN 55369-4485
Mailing Address9555 Upland Ln N, Mailstop:62m03bMaple Grove, MN 55369-4485 · (952) 993-3307
Sole ProprietorNo
Enumeration DateNovember 29, 2017
NPI 1487168357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in MN · LP6194
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

9555 UPLAND LN N, Maple Grove, MN 55369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dusty Renee Hackler Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Psychologist
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Pediatrics
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Nurse Practitioner (Adult Health)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Clinic/Center
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Nurse Practitioner (Family)
9555 UPLAND LN N
MAPLE GROVE, MN 55369
Social Worker (Clinical)
9555 UPLAND LN N, BEHAVIORAL HEALTH, 3RD FLOOR
MAPLE GROVE, MN 55369
Psychologist (Clinical)
9555 UPLAND LN N
MAPLE GROVE, MN 55369

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dusty Hackler's NPI number?

The NPI number for Dusty Hackler is 1487168357. It was assigned to this individual provider in the NPPES registry on November 29, 2017.

Where is Dusty Hackler located?

Dusty Hackler practices at 9555 Upland Ln N, Maple Grove, MN 55369. The listed phone number is (952) 993-3307.

What is Dusty Hackler's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Dusty Hackler enrolled in Medicare?

Yes. Dusty Hackler is registered in the Medicare PECOS enrollment system.

What insurance does Dusty Hackler accept?

Health plans from HealthPartners list Dusty Hackler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dusty Hackler was last updated on November 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.