Joanne P Hayden, MA

Key facts

NPI

1144626201

Entity type

Individual (NPI type 1)

Primary specialty

Clinical Psychologist 103TC0700X

License

0470045066 (VT)

Practice address

541 S Main St
Stowe, VT 05672-4654

Phone

(802) 253-8912

NPI assigned

Nov 17, 2014

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Credentials

Master of Arts

State licenses

Specialties & licenses

Addresses

Other names

• JP Hayden Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 1, 2024.

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1144626201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3841",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056723841",
            "telephone_number": "802-253-8912",
            "fax_number": "802-253-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 S MAIN ST",
            "city": "STOWE",
            "state": "VT",
            "postal_code": "056724654",
            "telephone_number": "802-253-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "JOANNE",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VT",
            "license": "0470045066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JP",
            "last_name": "HAYDEN",
            "credential": "MA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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