Mark a Hayes Psy D PA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6891 Issued in FL

Legal business name

MARK A HAYES PSY D PA

Practice address

2204 S Parsons Ave
Seffner, FL 33584-5212

Phone

(813) 657-7754

Fax

(813) 684-6887

NPI assigned

Dec 28, 2007

Organization subpart

No

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

Authorized official

Name

Mark A Hayes, PSYD

Title

Owner

Phone

(813) 657-7754

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1194909911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 S PARSONS AVE",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335845212",
            "telephone_number": "813-657-7754",
            "fax_number": "813-684-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 S PARSONS AVE",
            "city": "SEFFNER",
            "state": "FL",
            "postal_code": "335845212",
            "telephone_number": "813-657-7754",
            "fax_number": "813-684-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK A HAYES PSY D PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-28",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-657-7754",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Seffner, FL
• Providers in Seffner, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.