Organization Active NPI

Dojuana Hairston, a Marriage Family Therapy Corp

  • Community/Behavioral Health Agency
  • Murrieta, CA
National Provider Identifier
1205349479
Registry record updated Nov 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC41015 Issued in CA
Legal business name
DOJUANA HAIRSTON, A MARRIAGE FAMILY THERAPY CORP
Practice address
24640 Jefferson Ave Ste 202
Murrieta, CA 92562-9027
Phone
(951) 219-9890
NPI assigned
Nov 10, 2017
Organization subpart
No

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

Authorized official

Name
Dr. Dojuana Dolores Hairston, PSYD, LMFTNPI 1093810640
Title
Ceo Clinical Therapist
Phone
(949) 929-5535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFC41015 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

National Provider Directory

National Provider Directory

Locations

24640 Jefferson Ave
Ste 202
Murrieta, CA 92562
Phone (951) 219-9890

27403 Ynez Rd
Ste 208
Temecula, CA 92591

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1205349479",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOJUANA HAIRSTON, A MARRIAGE FAMILY THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "DOJUANA",
        "authorized_official_middle_name": "DOLORES",
        "authorized_official_title_or_position": "CEO CLINICAL THERAPIST",
        "authorized_official_telephone_number": "949-929-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC41015",
            "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.