NPIMap

Individual provider Active NPI

Jamilee Ann Hawn, MATLLP

  • Psychologist
  • Three Rivers, MI
National Provider Identifier
1205008133
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301013823 Issued in MI
Practice address
210 S Main Street
Three Rivers, MI 49093
Phone
(269) 273-5000
Fax
(269) 273-9456
NPI assigned
Apr 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301013823 MI Primary

Addresses

Primary practice location

210 S Main Street
Three Rivers, MI 49093

Mailing address

210 S Main Street
Three Rivers, MI 49093
Phone (269) 273-5000

Other identifiers 1

IdentifierTypeStateIssuer
1708146MedicaidMI

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
6301013823MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health Services of St Joseph County 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": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1205008133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 S MAIN STREET",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "49093",
            "telephone_number": "269-273-5000",
            "fax_number": "269-273-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 S MAIN STREET",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "49093",
            "telephone_number": "269-273-5000",
            "fax_number": "269-273-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWN",
        "first_name": "JAMILEE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MATLLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301013823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1708146",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Three Rivers, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.