Individual provider Active NPI

Dojuana Dolores Hairston, PSYD LMFT

  • Marriage & Family Therapist
  • Murrieta, CA
National Provider Identifier
1093810640
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 41015 Issued in CA
Practice address
24640 Jefferson Ave Ste 202
Murrieta, CA 92562-9027
Phone
(951) 219-9890
Fax
(951) 263-5283
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC41015 CA
Marriage & Family Therapist 106H00000X MFC 41015 CA Primary

Addresses

Primary practice location

24640 Jefferson Ave Ste 202
Murrieta, CA 92562-9027

Mailing address

PO Box 2532
Temecula, CA 92593-2532
Phone (949) 929-5535

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC 41015CAMDMarriage & Family Therapist
MFC41015CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dojuana Hairston, a Marriage Family Therapy Corp Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510272000000",
    "number": "1093810640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2532",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925932532",
            "telephone_number": "949-929-5535",
            "fax_number": "951-263-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24640 JEFFERSON AVE STE 202",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629027",
            "telephone_number": "951-219-9890",
            "fax_number": "951-263-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIRSTON",
        "first_name": "DOJUANA",
        "middle_name": "DOLORES",
        "name_prefix": "Dr.",
        "credential": "PSYD LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2017-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41015",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 41015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.