Individual provider Active NPI

Hayley Greenberg

  • School Psychologist
  • Lockeford, CA
National Provider Identifier
1013748524
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
19456 N Tully Rd
Lockeford, CA 95237-9752
Phone
(209) 331-7214
NPI assigned
Aug 8, 2024
Last updated
Aug 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X Primary

Addresses

Primary practice location

19456 N Tully Rd
Lockeford, CA 95237-9752

Mailing address

2250 Scarborough Dr Apt 56
Lodi, CA 95240-6652

Other practice location 1

4620 E Acampo Rd
Acampo, CA 95220-9601
Phone (209) 331-7809

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

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1013748524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 SCARBOROUGH DR APT 56",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952406652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19456 N TULLY RD",
            "city": "LOCKEFORD",
            "state": "CA",
            "postal_code": "952379752",
            "telephone_number": "209-331-7214"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4620 E Acampo Rd",
            "address_purpose": "LOCATION",
            "city": "Acampo",
            "state": "CA",
            "postal_code": "952209601",
            "country_code": "US",
            "telephone_number": "209-331-7809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "HAYLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockeford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.