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NICHOLAS DON HACK MA
NPI 1972941342
Psychologist - Clinical in Oakland, CA

Active since June 07, 2013PECOS EnrolledAccepts Medicare Assignment
3800 PARK BLVD, STE 200, OAKLAND, CA 94602(707) 564-7579 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2021, Feb 6, 2019 (2 updates tracked since 2019).

About Nicholas Don Hack Ma NPPES

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

NICHOLAS DON HACK MA (NPI 1972941342) is an individual clinical provider in Oakland, California, licensed in California (27937) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1972941342
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameNICHOLAS DON HACKCredential: MA
Location Address3800 PARK BLVD, STE 200Oakland, CA 94602-1114
Mailing Address3800 Park Blvd, Ste 200Oakland, CA 94602-1114 · (707) 564-7579
Phone(707) 564-7579
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 7, 2013
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1972941342 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 CA · 27937
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.
3800 PARK BLVD, Oakland, CA 94602
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicholas Don Hack Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365784501
PECOS Enrollment IDI20190508001953
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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Hack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Nicholas Hack Psychotherapy, Inc.
Same address
Community/Behavioral Health
3800 PARK BLVD STE 200
Oakland, CA 94602
  • Reassigned Medicare billing, California enrollment
NPI 1780251124 (707) 564-7579

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Nicholas Hack's NPI number?

The NPI number for Nicholas Hack is 1972941342. It was assigned to this individual provider in the NPPES registry on June 7, 2013.

Where is Nicholas Hack located?

Nicholas Hack practices at 3800 Park Blvd Ste 200, Oakland, CA 94602. The listed phone number is (707) 564-7579.

What is Nicholas Hack's specialty?

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

Is Nicholas Hack enrolled in Medicare?

Yes. Nicholas Hack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicholas Hack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Hack reassigns Medicare benefits to Nicholas Hack Psychotherapy, Inc. (Oakland, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Hack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicholas Hack was last updated on June 17, 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.