Carolyn Brennan Haines, PH.D., P.C.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

3509 Issued in NC

Legal business name

CAROLYN BRENNAN HAINES, PH.D., P.C.

Practice address

1112 Crossway LN
Holly Springs, NC 27540-6855

Phone

(919) 285-4584

NPI assigned

May 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carolyn Brennan Haines, PH.D.

Title

President

Phone

(919) 285-4594

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1093764128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 CROSSWAY LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406855",
            "telephone_number": "919-285-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 CROSSWAY LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406855",
            "telephone_number": "919-285-4584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN BRENNAN HAINES, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "HAINES",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "BRENNAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-285-4594",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "MA",
            "license": "8472",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NC",
            "license": "3509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Holly Springs, NC
• Providers in Holly Springs, NC by specialty
• Preferred Provider Organization in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.