Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Bruce Patrick Hackworth, PHD

Individual provider Psychologist · NPI 1063448918

Dr. Bruce Patrick Hackworth, PHD is a Clinical Psychologist in Saint Joseph, Michigan. Qualified in 1996, 30 years ago. Practices with Lighthouse Behavioral Health PLLC, a 2-clinician group. Licensed in Michigan.

Years since qualifying
30
Licensed in
MI
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

811 Ship St Ste 4B
Saint Joseph, MI 49085-1171
Phone: (269) 985-3618
Fax: (269) 609-6009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 6801018724 (MI)

Record details

NPI number1063448918
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESJanuary 1, 2016
Mailing address811 Ship St, Suite 4b, Saint Joseph, MI 49085-1171

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Lighthouse Behavioral Health Pllc — 2 clinicians
Accepts Medicare assignment Not indicated

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