Active NPI
Vanessalanier E Hawkins
- Cognitive & Behavioral Psychologist
- Los Angeles, CA
National Provider Identifier
1740036979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 4027855
- Practice address
- 5455 Wilshire Blvd
Los Angeles, CA 90036-4201 - Phone
- (909) 642-3209
- NPI assigned
- Apr 29, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 4027855 | CA | Primary |
Addresses
Primary practice location
5455 Wilshire Blvd
Los Angeles, CA 90036-4201
Mailing address
15723 Parkhouse Dr Unit 88
Fontana, CA 92336-6511
Phone (626) 715-8387
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4027855 | CA | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1740036979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15723 PARKHOUSE DR UNIT 88",
"city": "FONTANA",
"state": "CA",
"postal_code": "923366511",
"telephone_number": "626-715-8387"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 WILSHIRE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364201",
"telephone_number": "909-642-3209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAWKINS",
"first_name": "VANESSALANIER",
"middle_name": "E",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2024-04-29",
"certification_date": "2024-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "4027855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 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.