Active NPI
Emmet O'Shea Hayden, RBT
- Behavior Technician
- Larkspur, CA
National Provider Identifier
1194210740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 72 Dartmouth Dr
Larkspur, CA 94939-1105 - Phone
- (415) 606-6111
- NPI assigned
- Jun 26, 2018
- Last updated
- Jun 26, 2018
- 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 | CA | Primary |
Addresses
Primary practice location
72 Dartmouth Dr
Larkspur, CA 94939-1105
Mailing address
72 Dartmouth Dr
Larkspur, CA 94939-1105
Phone (415) 606-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529971200000",
"number": "1194210740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 DARTMOUTH DR",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391105",
"telephone_number": "415-606-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 DARTMOUTH DR",
"city": "LARKSPUR",
"state": "CA",
"postal_code": "949391105",
"telephone_number": "415-606-6111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDEN",
"first_name": "EMMET",
"middle_name": "O'SHEA",
"credential": "RBT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-26",
"last_updated": "2018-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Larkspur, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.