Individual provider Active NPI

Randy Matt Haapanen, PH.D.

  • Clinical Psychologist
  • Chico, CA
National Provider Identifier
1508992710
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY5845 Issued in CA
Practice address
1430 East Ave Ste 4C
Chico, CA 95926-1629
Phone
(530) 877-2730
NPI assigned
Feb 24, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY5845 CA Primary

Addresses

Primary practice location

1430 East Ave Ste 4C
Chico, CA 95926-1629

Mailing address

9305 Lott Rd
Durham, CA 95938-9703
Phone (530) 877-2730

Other identifiers 2

IdentifierTypeStateIssuer
00PL58450OtherCABLUE SHIELD PROVIDER NUMB
156186OtherCAVALUE OPTIONS PROV NUMB

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
I20120515000281 CA Practitioner - Clinical Psychologist 6507029329 Practice locations: Chico, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1430 E Ave
Suite 4C
Chico, CA 95926-1629
Phone (530) 877-2730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY5845CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1172275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1508992710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 LOTT RD",
            "city": "DURHAM",
            "state": "CA",
            "postal_code": "959389703",
            "telephone_number": "530-877-2730",
            "fax_number": "530-891-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 EAST AVE STE 4C",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959261629",
            "telephone_number": "530-877-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAPANEN",
        "first_name": "RANDY",
        "middle_name": "MATT",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-24",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY5845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER NUMB",
            "identifier": "00PL58450",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS PROV NUMB",
            "identifier": "156186",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.