Jane A. Hawksley, PMHCNS-BC

Primary specialty

Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X

License

209.002701 Issued in IL

Practice address

1341 Warren Ave
Downers Grove, IL 60515-3437

Phone

(630) 719-5454

Fax

(630) 719-1263

NPI assigned

Feb 1, 2007

Last updated

Dec 30, 2011By the provider in NPPES

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)

Enrolled

Credentials

Certified Nurse Specialist, Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Riverside Psychiatric & Counseling P C

  • Psychiatry Physician
  • Riverside, IL
  • NPI 1689620668
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1437297637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E 9TH ST",
            "address_2": "UNIT 1606",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606052138",
            "telephone_number": "312-213-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 WARREN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153437",
            "telephone_number": "630-719-5454",
            "fax_number": "630-719-1263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKSLEY",
        "first_name": "JANE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209.002701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hartill, COTA
• Hartoheart Inc
• Elsayed S Hassanein, P.T.
• Sandra M Haugh, OT
• Betty Hawkins-Smith, FNP
• Anne M. Hayes, MHS, CCC-SLP
• Judith A Hayes, LPT
• Health Care Clinic
• Health Hub, LLC
• Healthy Connection Physical Medicine DG Inc.

• Psychiatric/Mental Health Clinical Nurse Specialist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Psychiatric/Mental Health Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.