Organization Active NPI

Hannah Zackney, LLC

Doing business as Heart Wide Open Wellness

  • Psychoanalyst
  • Folsom, CA
National Provider Identifier
1609623578
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychoanalystTaxonomy code 102L00000X
Legal business name
HANNAH ZACKNEY, LLC
Doing business as
Heart Wide Open Wellness
Practice address
850 Iron Point Rd Ste 146
Folsom, CA 95630-9015
Phone
(916) 237-7042
NPI assigned
Apr 30, 2024
Last updated
Apr 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Authorized official

Name
Hannah ZackneyNPI 1811370133
Title
Ceo
Phone
(916) 932-6929

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X
Psychoanalyst 102L00000X Primary

Addresses

Primary practice location

850 Iron Point Rd Ste 146
Folsom, CA 95630-9015

Mailing address

850 Iron Point Rd Ste 146
Folsom, CA 95630-9015
Phone (916) 237-7042

Other names 1

  • Heart Wide Open Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

850 Iron Point Rd
Ste 146
Folsom, CA 95630
Phone (916) 237-7042

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1609623578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 IRON POINT RD STE 146",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309015",
            "telephone_number": "916-237-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 IRON POINT RD STE 146",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956309015",
            "telephone_number": "916-237-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAH ZACKNEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "ZACKNEY",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-932-6929"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heart Wide Open Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

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