NPIMap

Organization Active NPI

Dr Haley'S Social Skills Center

  • Psychologist
  • Woodbridge, VA
National Provider Identifier
1134460306
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810002757 Issued in VA
Legal business name
DR HALEY'S SOCIAL SKILLS CENTER
Practice address
13885 Hedgewood Dr Ste 233
Woodbridge, VA 22193-7931
Phone
(571) 285-1403
Fax
(703) 490-4525
NPI assigned
Mar 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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

Authorized official

Name
Dr. Christopher Haley, PSY.D.
Title
President
Phone
(571) 285-1403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 0810002757 VA Primary

Addresses

Primary practice location

13885 Hedgewood Dr Ste 233
Woodbridge, VA 22193-7931

Mailing address

13885 Hedgewood Dr Ste 233
Woodbridge, VA 22193-7931
Phone (571) 285-1403

Other names 1

  • The Social Skills Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Haley'S Social Skills Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13885 Hedgewood Dr
Ste 233
Woodbridge, VA 22193
Phone (571) 285-1403

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1134460306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13885 HEDGEWOOD DR STE 233",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937931",
            "telephone_number": "571-285-1403",
            "fax_number": "703-490-4525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13885 HEDGEWOOD DR STE 233",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937931",
            "telephone_number": "571-285-1403",
            "fax_number": "703-490-4525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR HALEY'S SOCIAL SKILLS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "571-285-1403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810002757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Social Skills Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.