Michelle Hardy, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

30417 Issued in CA

Practice address

125 W F St Ste 101
Ontario, CA 91762-3201

Phone

(909) 563-7076

Fax

(909) 909-9864

NPI assigned

Oct 22, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Banning, CA
  • NPI 1376293407
  NPD (past)

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720915200000",
    "number": "1417611872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 E PENNSYLVANIA AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742569",
            "telephone_number": "909-856-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W F ST STE 101",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623201",
            "telephone_number": "909-563-7076",
            "fax_number": "909-909-9864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1889 W Redlands Blvd",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923733119",
            "country_code": "US",
            "telephone_number": "909-586-7371",
            "fax_number": "909-801-8133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY",
        "first_name": "MICHELLE",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-22",
        "last_updated": "2024-07-14",
        "certification_date": "2024-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "30417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Noelle Hanlin
• John Emad Hanna
• Mora Hanna, DPT
• Yostina Hanna
• Jalen Hardrick
• Harjinder Singh Romana DDS Inc
• Samantha Harkins
• Alexzandria Elijah Haro
• Cristal Haro
• Judith Elizabeth Haro

• Licensed Psychiatric Technician in Ontario, CA
• Providers in Ontario, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2024; 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.