Individual provider Active NPI

Kathy Ann Hayden, MFT 28468 CA

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1396963641
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
28468 Issued in CA
Practice address
611 E Belmont Ave
Fresno, CA 93701-1502
Phone
(559) 251-4800
Fax
(559) 453-7827
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 28468 CA Primary

Addresses

Primary practice location

611 E Belmont Ave
Fresno, CA 93701-1502

Mailing address

2715 N Thorne Ave
Fresno, CA 93704-5982
Phone (559) 917-8599

Other practice location 1

1305 W Bullard Ave Ste 8
Fresno, CA 93711-2470
Phone (559) 917-8599

Other practice location 2

2772 S Martin Luther King Blvd
Fresno, CA 93706
Phone (559) 251-4800 ext. 55925

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1396963641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 N THORNE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937045982",
            "telephone_number": "559-917-8599",
            "fax_number": "559-222-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E BELMONT AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937011502",
            "telephone_number": "559-251-4800",
            "fax_number": "559-453-7827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 W Bullard Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112470",
            "country_code": "US",
            "telephone_number": "559-917-8599",
            "fax_number": "559-222-0731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2772 S Martin Luther King Blvd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "93706",
            "country_code": "US",
            "telephone_number": "559-251-4800 x55925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "KATHY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MFT 28468 CA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "28468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.