P Praxis·MD
● Active Type 1 · Individual

DR. Priscilla D. Hernandez Hacker, PH.D.

Psychologist·Moscow, ID· NPI 1063469203 · Enumerated 2006 · 19 years on NPI
Hernandez Hacker is 1 of 9 psychologist providers in Moscow and 1 of 235 in Idaho.
NPI age
19 years
Enumerated 2006-05-30
Primary specialty
Psychologist
Plus 1 subspecialty
Licensed in
ID, WA
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-05-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 235 active psychologist providers in Idaho.

NPI age
19 years
↑ 2 yr above median (17 yr)
State licenses
2 states
Top 82% — 17% of peers are multi-state
Subspecialties
0
30% of peers hold subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
828 S Washington St Ste A
Moscow, ID 838433055
📞 2088837766fax 2088838062
Mailing address
828 S Washington St Ste A
Moscow, ID 838433055
📞 2088837766fax 2088838062

Specialties

  • Psychologist Primary
    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...
    ID license #PSY202196WA license #PY1696 taxonomy 103TC0700X

Identifiers

TypeValueNotes
01 (ID) 000010149290 REGENCE BLUE SHIELD PIN
01 (WA) 380-319 DSHS PROVIDER NUMBER
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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