Active NPI
Timothy P. Hayes, PH.D., Clinical Psychologist, P.C.
- Clinical Psychologist
- Syracuse, NY
National Provider Identifier
1114127958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 012381
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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 DirectoryLocations
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.