Active NPI
Thomas James Haley, PH.D.
- Psychologist
- Omaha, NE
National Provider Identifier
1043285554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 380
- Practice address
- 12728 Augusta Ave
Omaha, NE 68144-3754 - Phone
- (402) 330-1537
- Fax
- (402) 330-9331
- NPI assigned
- Feb 19, 2006
- Last updated
- Aug 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 380 | NE | Primary |
Addresses
Primary practice location
12728 Augusta Ave
Omaha, NE 68144-3754
Mailing address
12728 Augusta Ave
Omaha, NE 68144-3754
Phone (402) 330-1537
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120309000637 | NE | Practitioner - Clinical Psychologist | 8527020981 | Practice locations: Omaha, NE |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1987
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12728 Augusta Ave
Suite 150
Omaha, NE 68144-3753
Phone (402) 330-1537
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 380 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1043285554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12728 AUGUSTA AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443754",
"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",
"city": "OMAHA",
"state": "NE",
"postal_code": "681443754",
"telephone_number": "402-330-1537",
"fax_number": "402-330-9331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "THOMAS",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-19",
"last_updated": "2023-08-22",
"certification_date": "2023-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NE",
"license": "380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.