Debra M. Halliday, PSY.D., CGP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23206 Issued in CA

Practice address

355 Santa Fe Dr
Encinitas, CA 92024-5152

Phone

(760) 635-3310

Fax

(760) 452-7525

NPI assigned

Dec 23, 2008

Last updated

Sep 25, 2015By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Halliday Center for Psychotherapy and Wellness, IncGroup PAC ID 3375767437, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• The Halliday Center for Psychotherapy and Wellness, Inc.

  • Clinical Psychologist
  • Encinitas, CA
  • NPI 1164848958
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443139200000",
    "number": "1336385327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245152",
            "telephone_number": "760-635-3310",
            "fax_number": "760-452-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 SANTA FE DR",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245152",
            "telephone_number": "760-635-3310",
            "fax_number": "760-452-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIDAY",
        "first_name": "DEBRA",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PSY.D., CGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-23",
        "last_updated": "2015-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "OPL232060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Hagner, D.C.
• Christopher Andrej Hajnik, M.D.
• Preston Hale, MD
• Jennifer Cheryl Hall
• Trevor P Hall
• Miranda Hamilton
• Nathan Hammel, MD
• Shelley Shafer Hammer, FNP
• Beverly Hamowitz, LCSW
• Ali Reza Hamzei, M.D.

• Clinical Psychologist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.