Active NPI
Jacqueline Elizabeth Hapenny, PSYD
- Cognitive & Behavioral Psychologist
- Wellesley Hills, MA
National Provider Identifier
1275028425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 11433
- Practice address
- 396 Washington St # 266
Wellesley Hills, MA 02481-6209 - Phone
- (855) 438-8331
- NPI assigned
- Jun 28, 2018
- Last updated
- Jan 13, 2023
- 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 |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 4364 | CT | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 11433 | MA | Primary |
| Clinical Psychologist | 103TC0700X | 35SI00695000 | NJ |
Addresses
Primary practice location
396 Washington St # 266
Wellesley Hills, MA 02481-6209
Mailing address
396 Washington St # 266
Wellesley Hills, MA 02481-6209
Phone (855) 438-8331
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 |
|---|---|---|---|
| 11433 | MA | MD | Mental Health Counselor |
| 35SI00695000 | NJ | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of California | Past | Accepting new patients |
Interoperability endpoints
- jacqueline.hapenny@361010828083204.direct.elationemr.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Sacramento, CA
- NPI 1518205863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673568000000",
"number": "1275028425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 WASHINGTON ST # 266",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024816209",
"telephone_number": "855-438-8331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "396 WASHINGTON ST # 266",
"city": "WELLESLEY HILLS",
"state": "MA",
"postal_code": "024816209",
"telephone_number": "855-438-8331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAPENNY",
"first_name": "JACQUELINE",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-28",
"last_updated": "2023-01-13",
"certification_date": "2023-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CT",
"license": "4364",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "MA",
"license": "11433",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NJ",
"license": "35SI00695000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wellesley Hills, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.