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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JENNIFER BRUCKMAN HAWTHORNE M.A., PSY.D.
NPI 1669679619
Psychologist - Clinical in Charlotte, NC

Active since July 02, 2007
5410 ADDISON DR, CHARLOTTE, NC 28211(704) 608-8091(828) 252-9111 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jennifer Bruckman Hawthorne M.a., Psy.d. NPPES

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

DR. JENNIFER BRUCKMAN HAWTHORNE M.A., PSY.D. (NPI 1669679619) is an individual clinical provider in Charlotte, North Carolina, licensed in North Carolina (3582) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1669679619
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER BRUCKMAN HAWTHORNECredential: M.A., PSY.D.
Location Address5410 ADDISON DRCharlotte, NC 28211-4139
Mailing Address5410 Addison DrCharlotte, NC 28211-4139 · (704) 608-8091
Phone(704) 608-8091
Fax(828) 252-9111
Sole ProprietorYes
Enumeration DateJuly 2, 2007
Last NPPES UpdateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
✔ NPI 1669679619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NC · 3582
Definition
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.
5410 ADDISON DR, Charlotte, NC 28211
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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 Jennifer Hawthorne's NPI number?

The NPI number for Jennifer Hawthorne is 1669679619. It was assigned to this individual provider in the NPPES registry on July 2, 2007.

Where is Jennifer Hawthorne located?

Jennifer Hawthorne practices at 5410 Addison Dr, Charlotte, NC 28211. The listed phone number is (704) 608-8091.

What is Jennifer Hawthorne's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Hawthorne was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.