Dustin O. Hayes, D.O., P.C.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

DUSTIN O. HAYES, D.O., P.C.

Practice address

817 S Elm PL
Suite C
Broken Arrow, OK 74012-5369

Phone

(918) 940-4734

Fax

(918) 940-4737

NPI assigned

Nov 23, 2016

Last updated

Apr 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dustin O'Leath Hayes, DONPI 1184981144

Title

President

Phone

(918) 940-4734

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Eclipse Mental Health Services Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dustin O'Leath Hayes, D.O.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Broken Arrow, OK
  • NPI 1184981144

  General Practice

  Medicare reassignment NPD Authorized official
• Rhonda Stewart

  • Occupational Therapist
  • Saint Louis, MO
  • NPI 1497275903
  NPD
• Adriane Paige Brower

  • Other Technician
  • Broken Arrow, OK
  • NPI 1164082707
  NPD (past)
• Karen S. Doney, LCSW

  • Clinical Social Worker
  • Muskogee, OK
  • NPI 1619046778
  NPD (past)
• Stephen Lester Greer, M.D.

  • Psychiatry Physician
  • Broken Arrow, OK
  • NPI 1609933100
  NPD (past)
• Susan Morgart Kent, LCSW, LADC

  • Clinical Social Worker
  • Porter, OK
  • NPI 1356451645
  NPD (past)
• Brenda Kay Richards, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Tulsa, OK
  • NPI 1316590714
  NPD (past)

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1124561113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S ELM PL",
            "address_2": "SUITE C",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125369",
            "telephone_number": "918-940-4734",
            "fax_number": "918-940-4737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S ELM PL",
            "address_2": "SUITE C",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125369",
            "telephone_number": "918-940-4734",
            "fax_number": "918-940-4737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUSTIN O. HAYES, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "O'LEATH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-940-4734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "5382",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200678490A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.eclipsetulsa.com/",
            "affiliation": "N",
            "endpointDescription": "Website contact",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Encrypted Email",
            "address_1": "817 S Elm Pl",
            "address_2": "Suite C",
            "city": "Broken Arrow",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740125369",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eclipse Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eclipse Mental Health Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stacy Buket Duman
• Sabrina Dunaway, PHARMD
• Cheryl Duncanson, COTA
• Angelina Dunn
• Laura Jean Duppong, M. ED., CCC-SLP
• DX Lab
• Dynamicare
• Julie Dyson
• E Hospice Group of Oklahoma No 1, LLC (Angels Care Hospice)
• Erica D Eagle

• Adult Mental Health Clinic/Center in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Adult Mental Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.