Paula Marie Jensen Hallahan, M.A.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

1860880 Issued in IL

Practice address

Hermansen Elementary School
101 Wesglen Parkway
Romeoville, IL 60445

Phone

(815) 886-7581

NPI assigned

Sep 15, 2017

Last updated

Sep 15, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505433600000",
    "number": "1861911398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 WESGLEN PKWY",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465269",
            "telephone_number": "815-886-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HERMANSEN ELEMENTARY SCHOOL",
            "address_2": "101 WESGLEN PARKWAY",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "60445",
            "telephone_number": "815-886-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN HALLAHAN",
        "first_name": "PAULA",
        "middle_name": "MARIE",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1860880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• School Psychologist in Romeoville, IL
• Providers in Romeoville, IL by specialty
• School Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2017; 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.