Active NPI
Scott Haartman, M.A., LMFT
- Marriage & Family Therapist
- Campbell, CA
National Provider Identifier
1740413731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 77097
- Practice address
- 155 E Campbell Ave
Suite 117
Campbell, CA 95008-2063 - Phone
- (408) 480-6137
- NPI assigned
- Aug 25, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 77097 | CA | Primary |
Addresses
Primary practice location
155 E Campbell Ave
Suite 117
Campbell, CA 95008-2063
Mailing address
155 E Campbell Ave
Suite 117
Campbell, CA 95008-2063
Phone (408) 480-6137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77097 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466726400000",
"number": "1740413731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 E CAMPBELL AVE",
"address_2": "SUITE 117",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082063",
"telephone_number": "408-480-6137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 E CAMPBELL AVE",
"address_2": "SUITE 117",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950082063",
"telephone_number": "408-480-6137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAARTMAN",
"first_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "M.A., LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-25",
"last_updated": "2016-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "77097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.