Active NPI
David Martin Hayes, BA
- Behavior Technician
- Nantucket, MA
National Provider Identifier
1114445392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 20 Vesper Lane
Nantucket, MA 02554 - Phone
- (508) 228-2689
- NPI assigned
- Sep 7, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
20 Vesper Lane
Nantucket, MA 02554
Mailing address
20 Vesper LN
Nantucket, MA 02554-4394
Phone (508) 228-2689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
20 Vesper LN
Unit L1
Nantucket, MA 02554-4397
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairwinds-Nantuckets Counseling Center | Current | Accepting new patients | |
| Fairwinds-Nantucket'S Counseling Center, Inc | Past | Accepting new patients |
Locations
20 Vesper Ln
Unit L1
Nantucket, MA 02554
Phone (508) 228-2689
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Nantucket, MA
- NPI 1275621385
-
- Developmental - Behavioral Pediatrics Physician
- Nantucket, MA
- NPI 1629537444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114445392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 VESPER LN",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "025544394",
"telephone_number": "508-228-2689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 VESPER LANE",
"city": "NANTUCKET",
"state": "MA",
"postal_code": "02554",
"telephone_number": "508-228-2689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "DAVID",
"middle_name": "MARTIN",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nantucket, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.