James Thomas Haley, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

768 Issued in NE

Practice address

12728 Augusta Ave, Ste 150
Omaha, NE 68144

Phone

(402) 330-1537

Fax

(402) 330-9331

NPI assigned

Sep 20, 2006

Last updated

Jan 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Iowa, RJ & L Carver College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295568000000",
    "number": "1003914797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE, STE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68144",
            "telephone_number": "402-330-1537",
            "fax_number": "402-330-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 AUGUSTA AVE, STE 150",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68144",
            "telephone_number": "402-330-1537",
            "fax_number": "402-330-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "00812",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "589",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NE",
            "license": "768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Rose Haldeman, LIMHP
• Grace Halder, PT, DPT
• Brennan T Hale
• Debbie Lynn Hale
• Kimmie Hale
• Nathan Haley
• Raymond Haley
• Sean S. Haley, M.S., N.C.C., PLMHP
• Terrelle Haley
• Thomas James Haley, PH.D.

• Counseling Psychologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Counseling Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.