Individual provider Active NPI

Tammy K Haslett, PH D

  • Psychologist
  • Johnstown, PA
National Provider Identifier
1043493521
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS008994L Issued in PA
Practice address
334 Bloomfield St
Suite 204
Johnstown, PA 15904-3268
Phone
(814) 266-5238
Fax
(814) 266-1762
NPI assigned
Dec 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS008994L PA Primary

Addresses

Primary practice location

334 Bloomfield St
Suite 204
Johnstown, PA 15904-3268

Mailing address

334 Bloomfield St
Suite 204
Johnstown, PA 15904-3268
Phone (814) 266-5238

Other identifiers 5

IdentifierTypeStateIssuer
331004OtherPAHIGHMARK BLUE CROSS
0017729510006MedicaidPA
0017729510007MedicaidPA
1025765450004MedicaidPA
1025765450003MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20051017000081 PA Practitioner - Clinical Psychologist 9739105115 Practice locations: Johnstown, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Footsteps Psychological Services Past Accepting new patients
Footsteps Psychological Services Psychologist Past Accepting new patients
Footsteps Psychological Services Psychologist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: phdthaslett@footsteps.medentdirect.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408665600000",
    "number": "1043493521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 BLOOMFIELD ST",
            "address_2": "SUITE 204",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043268",
            "telephone_number": "814-266-5238",
            "fax_number": "814-266-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 BLOOMFIELD ST",
            "address_2": "SUITE 204",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043268",
            "telephone_number": "814-266-5238",
            "fax_number": "814-266-1762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASLETT",
        "first_name": "TAMMY",
        "middle_name": "K",
        "credential": "PH D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-07",
        "last_updated": "2014-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS008994L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE CROSS",
            "identifier": "331004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017729510006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017729510007",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025765450004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025765450003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, PA

Sources for this page

Verify at the official NPI Registry.