Individual provider Active NPI

Patricia J Hayes, PSY.D.

  • Clinical Psychologist
  • Centerville, OH
National Provider Identifier
1043209976
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4580 Issued in OH
Practice address
77 W Elmwood Dr
Suite 202
Centerville, OH 45459-4239
Phone
(937) 436-0700
Fax
(937) 424-5749
NPI assigned
Oct 13, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 4580 OH Primary

Addresses

Primary practice location

77 W Elmwood Dr
Suite 202
Centerville, OH 45459-4239

Mailing address

77 W Elmwood Dr
Suite 202
Centerville, OH 45459-4239
Phone (937) 436-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040126000352 OH Practitioner - Clinical Psychologist 2567364961 Practice locations: Dayton, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4580OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Patricia J. Hayes, Psy.D Associates Clinical PastSince May 2, 2015 Accepting new patients
A. Davis, MSW, LLC PastSince May 2, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043209976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR",
            "address_2": "SUITE 202",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594239",
            "telephone_number": "937-436-0700",
            "fax_number": "937-424-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 W ELMWOOD DR",
            "address_2": "SUITE 202",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454594239",
            "telephone_number": "937-436-0700",
            "fax_number": "937-424-5749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "PATRICIA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerville, OH

Sources for this page

Verify at the official NPI Registry.