D Martin Hayden, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0571 Issued in WI

Practice address

840 Lake Ave
Racine
Racine, WI 53403-1566

Phone

(262) 634-8688

Fax

(262) 634-7547

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Credence Therapy Associates Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elkhorn, WI
  • NPI 1487648663
  NPD (past)
• Racine Psychological Services, Inc.

  • Adult Mental Health Clinic/Center
  • Racine, WI
  • NPI 1275586323
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1316021405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 LAKE AVE",
            "address_2": "RACINE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031566",
            "telephone_number": "262-634-8688",
            "fax_number": "262-634-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 LAKE AVE",
            "address_2": "RACINE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534031566",
            "telephone_number": "262-634-8688",
            "fax_number": "262-634-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "D",
        "middle_name": "MARTIN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "0571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Marie Harris, PTA
• Evan R Hart, LPC
• Thomas Robert Hart, RPH
• Amanda Kate Hartig
• Harvest Consulting Company, LLC
• Marcia Kay Hayek, R.D.
• Head to Toe Physical Therapy
• Healing Inspired Behavioral Services LLC
• Health & Nutrition Service of Racine, Inc.
• Jody L Heck

• Clinical Psychologist in Racine, WI
• Providers in Racine, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.