Individual provider Active NPI

Janet E Hackleman, RN, MFT

  • Marriage & Family Therapist
  • Loma Linda, CA
National Provider Identifier
1356670392
Registry record updated Dec 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 16132 Issued in CA
Practice address
24785 Stewart St
Loma Linda, CA 92354-2751
Phone
(909) 558-4993
Fax
(909) 558-0227
NPI assigned
Dec 22, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 246621 CA
Marriage & Family Therapist 106H00000X MFC 16132 CA Primary

Addresses

Primary practice location

24785 Stewart St
Loma Linda, CA 92354-2751

Mailing address

24785 Stewart St
Loma Linda, CA 92354-2751
Phone (909) 558-4993

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MFC 16132CAMDMarriage & Family Therapist
246621CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1356670392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24785 STEWART ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542751",
            "telephone_number": "909-558-4993",
            "fax_number": "909-558-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24785 STEWART ST",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923542751",
            "telephone_number": "909-558-4993",
            "fax_number": "909-558-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKLEMAN",
        "first_name": "JANET",
        "middle_name": "E",
        "credential": "RN, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "246621",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 16132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loma Linda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; 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.