Individual provider Active NPI

Jenny Haney

  • Psychiatric/Mental Health Nurse Practitioner
  • Allen, TX
National Provider Identifier
1679015937
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP132637 Issued in TX
Practice address
1314 W McDermott Dr Ste 106-430
Allen, TX 75013-3021
Phone
(972) 779-9258
Fax
(972) 947-5174
NPI assigned
Nov 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP132637 TX Primary

Addresses

Primary practice location

1314 W McDermott Dr Ste 106-430
Allen, TX 75013-3021

Mailing address

1314 W McDermott Dr Ste 106-430
Allen, TX 75013-3021
Phone (972) 779-9258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP132637TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shahla Ali MD PA CurrentSince Jan 11, 2019 Accepting new patients
Joel a. Holiner, MD PA Psychiatric/Mental Health CurrentSince Nov 16, 2016 Accepting new patients
Shahla Ali MD PA PastSince Apr 20, 2021 Accepting new patients

Locations

1333 W McDermott Dr
Ste 200
Allen, TX 75013
Phone (469) 564-4211

1774 W McDermott Dr
Ste 150
Allen, TX 75013
Phone (469) 340-2777

7777 Forest Ln
Ste C833
Dallas, TX 75230
Phone (972) 566-4591

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1679015937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 W MCDERMOTT DR STE 106-430",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133021",
            "telephone_number": "972-779-9258",
            "fax_number": "972-947-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 W MCDERMOTT DR STE 106-430",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750133021",
            "telephone_number": "972-779-9258",
            "fax_number": "972-947-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANEY",
        "first_name": "JENNY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP132637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.