1. Home
  2. Directory
  3. Michigan
  4. Saint Joseph
  5. Psychologist
  6. NPI Profile

DR. GALE SANDRA HACKWORTH PHD
NPI 1710519376
Psychologist - Clinical in Saint Joseph, MI

Active since February 11, 2020PECOS Enrolled
80.58/100
CMS Quality Rating
811 SHIP ST STE 4B, SAINT JOSEPH, MI 49085(269) 985-3618(269) 609-6009 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2021, Feb 11, 2020 (2 updates tracked since 2020).

About Dr. Gale Sandra Hackworth Phd NPPES

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

DR. GALE SANDRA HACKWORTH PHD (NPI 1710519376) is an individual clinical provider in Saint Joseph, Michigan, licensed in Michigan (6301018315) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1710519376
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. GALE SANDRA HACKWORTHCredential: PHD
Location Address811 SHIP ST STE 4BSaint Joseph, MI 49085-1171
Mailing Address811 Ship St Ste 4bSaint Joseph, MI 49085-1171 · (269) 985-3618 · Fax (269) 609-6009
Phone(269) 985-3618
Fax(269) 609-6009
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 11, 2020
Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2021
✔ NPI 1710519376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MI · 6301018315
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.
Also ListedPsychologistTaxonomy 103T00000X · License 6301018315 (MI)
811 SHIP ST STE 4B, Saint Joseph, MI 49085
Open in Google Maps ↗

Other Identifiers 1

Other1699155226MI · Group Npi For Lighthouse Behavioral Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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)

Dr. Gale Sandra Hackworth Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799112827
PECOS Enrollment IDI20220819000159
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49085 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.68 typical visit price
range $54.34 – $166.68
Typical copayment $41.67 (range $13.58 – $41.67)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost32.25

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 Gale Hackworth's NPI number?

The NPI number for Gale Hackworth is 1710519376. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Gale Hackworth located?

Gale Hackworth practices at 811 Ship St Ste 4B, Saint Joseph, MI 49085. The listed phone number is (269) 985-3618.

What is Gale Hackworth's specialty?

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

Is Gale Hackworth enrolled in Medicare?

Yes. Gale Hackworth is registered in the Medicare PECOS enrollment system.

What insurance does Gale Hackworth accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Gale Hackworth 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 Gale Hackworth was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.