Individual provider Active NPI

John William Hayden, PH.D.

  • Psychologist
  • Laguna Niguel, CA
National Provider Identifier
1124115274
Registry record updated Sep 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY8404 Issued in CA
Practice address
30101 Town Center Dr
Suite 218
Laguna Niguel, CA 92677-5006
Phone
(949) 495-5290
Fax
(949) 495-8540
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY8404 CA Primary

Addresses

Primary practice location

30101 Town Center Dr
Suite 218
Laguna Niguel, CA 92677-5006

Mailing address

30101 Town Center Dr
Suite 218
Laguna Niguel, CA 92677-5006
Phone (949) 495-5290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080111000584 CA Practitioner - Clinical Psychologist 5496836777 Practice locations: Laguna Niguel, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

30101 Town Ctr Dr
Suite 218
Laguna Niguel, CA 92677-5006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY8404CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1124115274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30101 TOWN CENTER DR",
            "address_2": "SUITE 218",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775006",
            "telephone_number": "949-495-5290",
            "fax_number": "949-495-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30101 TOWN CENTER DR",
            "address_2": "SUITE 218",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775006",
            "telephone_number": "949-495-5290",
            "fax_number": "949-495-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "JOHN",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY8404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.