Active NPI
Amanda A Haun
- Marriage & Family Therapist
- La Puente, CA
National Provider Identifier
1265088488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 121324
- Practice address
- 160 S 7TH Ave
La Puente, CA 91746-3211 - Phone
- (626) 974-0770
- NPI assigned
- Aug 13, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 121324 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 121324 | CA | Primary |
Addresses
Primary practice location
160 S 7TH Ave
La Puente, CA 91746-3211
Mailing address
160 S 7TH Ave
La Puente, CA 91746-3211
Phone (626) 974-0770
Other practice location 1
2275 Arlington Dr
San Leandro, CA 94578-1132
Phone (510) 317-1444
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614902400000",
"number": "1265088488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 S 7TH AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917463211",
"telephone_number": "626-974-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 S 7TH AVE",
"city": "LA PUENTE",
"state": "CA",
"postal_code": "917463211",
"telephone_number": "626-974-0770"
}
],
"practiceLocations": [
{
"address_1": "2275 Arlington Dr",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945781132",
"country_code": "US",
"telephone_number": "510-317-1444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAUN",
"first_name": "AMANDA",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-13",
"last_updated": "2021-03-05",
"certification_date": "2021-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "121324",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "121324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Puente, CA
- Harley S. Orzame,DMD,Inc.
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway Sycamores Child and Family Services
- Hathaway-Sycamores Child and Family Services
- Eszter German Heins
- Jasmine Michelle Henry-Ala
- Arlene Hernandez Silverio
- Edward Paul Hernandez, O.D.
- Lisamarie Hernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.