Jeffrey Emil Haynes

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

4704203472 Issued in MI

Practice address

38855 Hills Tech Dr Ste 200
Farmington Hills, MI 48331-3428

Phone

(248) 745-4900

Fax

(248) 994-4616

NPI assigned

Apr 28, 2016

Sex

Male

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

State licenses

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1023463908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S TILDEN ST",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411863",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38855 HILLS TECH DR STE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313428",
            "telephone_number": "248-745-4900",
            "fax_number": "248-994-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JEFFREY",
        "middle_name": "EMIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704203472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Haynes-Heard
• Alisha-Jane Haynes
• Ayanna Haynes
• Gi'Taysha Haynes
• Jasmine Haynes
• Josiah Haynes
• Kynadi Haynes
• Latrice Haynes
• Victoria Haynes
• Xavyah Haynes

• Psychiatric/Mental Health Registered Nurse in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Psychiatric/Mental Health Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; 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.