William Carl Haynes, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2013040111 Issued in MO

Practice address

2639 Miami St
2 West
Saint Louis, MO 63118-3929

Phone

(314) 558-1112

NPI assigned

Mar 31, 2020

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1366070633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1892 WILLOW OAK DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633034162",
            "telephone_number": "434-509-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2639 MIAMI ST",
            "address_2": "2 WEST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631183929",
            "telephone_number": "314-558-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "WILLIAM",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2013040111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Haynes
• Michelle Haynes, DPT
• Molly Dee Haynes
• Shirley Lynn Haynes, PA-C
• Trina M Haynes
• Lisa Parker Hayreh, PH.D.
• Hays Foot and Ankle Center PC
• Cynthia Renee Hays, PMHNP-BC
• Hunter Lee Hays, DO
• Laura Hays, LPC

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.