DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NICOLE MICHELLE HAGGERTY MD

MEDICARE: NICOLE MICHELLE HAGGERTY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianA204157CA
22084P0800XPsychiatry Physician12075CA

General Provider Information

NPI Number : 1588366637
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MICHELLE HAGGERTY MD
Provider Business Mailing Address
First Line : 400 W MINERAL KING AVE
Second Line :
City : VISALIA
State : CA
Zip : 93291-6237
Country : US
Telephone Number : 559-624-2000
Fax Number :
Provider Business Practice Location Address
First Line : 2130 NATIONAL AVE
Second Line :
City : SAN DIEGO
State : CA
Zip : 92113-2209
Country : US
Telephone Number : 619-515-2382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2023
Last Update Date : 05/20/2026

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:
211 CALLE MORSE
ARROYO, PR
00714-2350
Practice Phone: 787-839-3980
Practice Fax: 787-271-2515
1457422966 — MR. CHARLES AMBROSE BANZON MFT
Practice Location Address:
2130 NATIONAL AVE
SAN DIEGO, CA
92113-2209
Practice Phone: 619-255-5171
Practice Fax: 619-269-0464
1164671749 — FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Practice Location Address:
2130 NATIONAL AVE
SAN DIEGO, CA
92113-2209
Practice Phone: 619-255-5171
Practice Fax: 619-269-0464
1205267184 — JOCELYN VASQUEZ-MOTA LCSW
Practice Location Address:
2130 NATIONAL AVE
SAN DIEGO, CA
92113-2209
Practice Phone: 619-515-2338
Practice Fax:
1417319765 — MR. PETER HARDY KASS M.D., M.ED
Practice Location Address:
2130 NATIONAL AVE
SAN DIEGO, CA
92113-2209
Practice Phone: 619-515-2382
Practice Fax:
1033662275 — GONZALO ACOSTA SIERRA AMFT 143250
Practice Location Address:
2130 NATIONAL AVE
SAN DIEGO, CA
92113-2209
Practice Phone: 619-255-5172
Practice Fax: 619-269-0464

Directions to “ NICOLE MICHELLE HAGGERTY MD” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.