Active NPI
Ina Lee Haugen, PSY.D.
- Forensic Psychologist
- Norco, CA
National Provider Identifier
1811197288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Psychologist
- License
- PSY14997
- Practice address
- 5TH Street and Western Avenue
Norco, CA 92860-0991 - Phone
- (951) 737-2683
- Fax
- (951) 273-2974
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Forensic Psychologist | 103TF0200X | PSY14997 | CA | Primary |
Addresses
Primary practice location
5TH Street and Western Avenue
Norco, CA 92860-0991
Mailing address
155 N Cambridge Ave
Claremont, CA 91711-4525
Phone (909) 445-0447
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 |
|---|---|---|---|
| PSY14997 | CA | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1811197288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 N CAMBRIDGE AVE",
"city": "CLAREMONT",
"state": "CA",
"postal_code": "917114525",
"telephone_number": "909-445-0447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5TH STREET AND WESTERN AVENUE",
"city": "NORCO",
"state": "CA",
"postal_code": "928600991",
"telephone_number": "951-737-2683",
"fax_number": "951-273-2974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUGEN",
"first_name": "INA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "PSY14997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.