Organization Active NPI

Timothy P. Hayes, PH.D., Clinical Psychologist, P.C.

  • Clinical Psychologist
  • Syracuse, NY
National Provider Identifier
1114127958
Registry record updated Feb 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
012381 Issued in NY
Legal business name
TIMOTHY P. HAYES, PH.D., CLINICAL PSYCHOLOGIST, P.C.
Practice address
315 S Crouse Ave
Suite 301
Syracuse, NY 13210-1845
Phone
(315) 422-1722
Fax
(315) 422-1741
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2008

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

Authorized official

Name
Dr. Timothy P. Hayes, PH.D.
Title
President
Phone
(315) 422-1722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 012381 NY Primary

Addresses

Primary practice location

315 S Crouse Ave
Suite 301
Syracuse, NY 13210-1845

Mailing address

315 S Crouse Ave
Suite 301
Syracuse, NY 13210-1845
Phone (315) 422-1722

National Provider Directory

National Provider Directory

Locations

315 S Crouse Ave
Ste 301
Syracuse, NY 13210
Phone (315) 422-1722

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1114127958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S CROUSE AVE",
            "address_2": "SUITE 301",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101845",
            "telephone_number": "315-422-1722",
            "fax_number": "315-422-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S CROUSE AVE",
            "address_2": "SUITE 301",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101845",
            "telephone_number": "315-422-1722",
            "fax_number": "315-422-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY P. HAYES, PH.D., CLINICAL PSYCHOLOGIST, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-422-1722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 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.