Individual provider Active NPI

Jennie L. Haws-McAlister, PSY.D.

  • Psychologist
  • Nevada City, CA
National Provider Identifier
1447295332
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14754 Issued in CA
Practice address
356 Providence Mine Rd
A
Nevada City, CA 95959-2979
Phone
(530) 265-3487
Fax
(265) 265-4457
NPI assigned
Jun 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY14754 CA Primary

Addresses

Primary practice location

356 Providence Mine Rd
A
Nevada City, CA 95959-2979

Mailing address

356 Providence Mine Road Unit a
Nevada City, CA 95959-2854
Phone (530) 265-3487

Other names 1

  • Dr. Jennie McAlister Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000606 CA Practitioner - Clinical Psychologist 8921045964 Practice locations: Grass Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12617 Friar Tuck Rd
Grass Valley, CA 95949-8745
Phone (530) 265-3487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY14754CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1447295332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "356 PROVIDENCE MINE ROAD UNIT A",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592854",
            "telephone_number": "530-265-3487",
            "fax_number": "530-265-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 PROVIDENCE MINE RD",
            "address_2": "A",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592979",
            "telephone_number": "530-265-3487",
            "fax_number": "265-265-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWS-MCALISTER",
        "first_name": "JENNIE",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-17",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIE",
            "last_name": "MCALISTER",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nevada City, CA

Sources for this page

Verify at the official NPI Registry.