NPI Data Registry NPPES + PECOS + OIG
NPI DATA REGISTRY (https://npidata.net) — FEDERAL CREDENTIALING & OIG SANCTION AUDIT RECORD
Generated: 2026-11-11 18:55 UTC • Sources: CMS NPPES v2.1 + CMS PECOS + HHS OIG LEIE (84,224 records)
Home › Psychologist › LUCERNE, CA › NPI #1598934028
✓ Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist (103T00000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

PAUL WILLIAM HOFACKER, Ph.D. (NPI #1598934028)

Psychologist • LUCERNE, CA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1598934028
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
103T00000X (CMS 62)
Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist
Box 32 Service Location & ZIP+4
6302 THIRTEENTH AVENUE, LAKE COUNTY BEHAVIORAL HEALTH, LUCERNE, CA, 95458
Official NPPES Practice Location
Practice Phone & Referral Fax
(707) 274-9101
Fax: (707) 274-9192
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1598934028 (PAUL WILLIAM HOFACKER, Ph.D.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1598934028 (NPI-1 Individual Practitioner)
Provider / Legal NamePAUL WILLIAM HOFACKER, Ph.D.
Plain-English SpecialtyLicensed & Credentialed Behavioral Health & Social Service Providers — Psychologist
NUCC Code: 103T00000X (Psychologist)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address6302 THIRTEENTH AVENUE, LAKE COUNTY BEHAVIORAL HEALTH, LUCERNE, CA, 95458
Practice Telephone / FaxTel: (707) 274-9101 | Fax: (707) 274-9192
Administrative Mailing AddressP.O. BOX 1024, LUCERNE, CA, 95458
Enumeration & Last SyncEnumerated: 2008-02-28 | CMS Record Updated: 2014-09-04

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

6302 THIRTEENTH AVENUE, LAKE COUNTY BEHAVIORAL HEALTH, LUCERNE, CA, 95458

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Plain-English Taxonomy & CMS Crosswalk (103T00000X)

What Does Taxonomy Code 103T00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103T00000X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (PAUL WILLIAM HOFACKER, Ph.D.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
103T00000X — Psychologist
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist		State: FL | License: PY5258 | Primary: Secondary
103TC0700X — Psychologist, Clinical
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical		State: FL | License: PY5258 | Primary: Secondary
103T00000X — Psychologist
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist		State: CA | License: PSY25568 | Primary: Yes (Primary)
103TC0700X — Psychologist, Clinical
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical		State: CA | License: PSY25568 | Primary: Secondary
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