Active NPI
Janene L Hawkins, PSYD LP
- Clinical Psychologist
- St Paul, MN
National Provider Identifier
1063485530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3681
- Practice address
- 640 Jackson Street
Mail Stop 11303a
St Paul, MN 55101-2502 - Phone
- (651) 254-9272
- Fax
- (651) 228-8362
- NPI assigned
- Feb 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3681 | MN | Primary |
Addresses
Primary practice location
640 Jackson Street
Mail Stop 11303a
St Paul, MN 55101-2502
Mailing address
8100 34TH Ave S
21110Q
Bloomington, MN 55425-1672
Phone (952) 883-7961
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 808523400 | Medicaid | MN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhawkins162197@excellian.direct.allina.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3681 | MN | MD | Chiropractor |
Interoperability endpoints
- jhawkins162197@excellian.direct.allina.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1604966400000",
"number": "1063485530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8100 34TH AVE S",
"address_2": "21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554251672",
"telephone_number": "952-883-7961",
"fax_number": "952-883-5395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 JACKSON STREET",
"address_2": "MAIL STOP 11303A",
"city": "ST PAUL",
"state": "MN",
"postal_code": "551012502",
"telephone_number": "651-254-9272",
"fax_number": "651-228-8362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "JANENE",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PSYD LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-07",
"last_updated": "2020-11-10",
"certification_date": "2020-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "3681",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "808523400",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhawkins162197@excellian.direct.allina.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/PDF/TXT",
"address_1": "800 E 28th St Ste 1750",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554073723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in St Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.