Kimberly A Hays, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071004504 Issued in IL

Practice address

2422 E Washington St
Washington Arches II, Suite 108
Bloomington, IL 61704-4478

Phone

(309) 310-1759

NPI assigned

Aug 22, 2006

Last updated

Aug 30, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 28, 2013 through Aug 28, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314662400000",
    "number": "1255447322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 BLARNEY STONE LN",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617048414",
            "telephone_number": "309-310-1759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 E WASHINGTON ST",
            "address_2": "WASHINGTON ARCHES II, SUITE 108",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617044478",
            "telephone_number": "309-310-1759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYS",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2011-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071004504",
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "IL",
            "license": "071004504",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05732103",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curtis J. Hayden, M.D.
• Adam L Hayes
• Ashlyn Hayes, RD, LD
• Amber Suzanne Hays, PH.D.
• Christopher W Hays
• Heaven K Hazzard
• Healthy Living Family Chiropractic, P.C.
• Heart of Illinois Obstetrics and Gynecology, S.C.
• Heartcare Midwest
• Heartland Anesthesia LLC

• Clinical Psychologist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.