Individual provider Active NPI

Sarah J. Haley, PH.D.

  • Psychologist
  • Lubbock, TX
National Provider Identifier
1407885395
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32013 Issued in TX
Practice address
7021 Kewanee Ave
Unit 2104
Lubbock, TX 79424-7049
Phone
(806) 687-9414
Fax
(806) 687-9415
NPI assigned
Jul 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3-2013 TX
Psychologist 103T00000X 32013 TX Primary

Addresses

Primary practice location

7021 Kewanee Ave
Unit 2104
Lubbock, TX 79424-7049

Mailing address

7021 Kewanee Ave Unit 2104
Lubbock, TX 79424-7049
Phone (806) 535-9232

Other identifiers 2

IdentifierTypeStateIssuer
154470201MedicaidTX
86757AOtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3-2013TXMDClinical Psychologist
32013TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Julie H. Verrone, Psy.D., P.C. Clinical PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1407885395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 KEWANEE AVE UNIT 2104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247049",
            "telephone_number": "806-535-9232",
            "fax_number": "866-450-0818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 KEWANEE AVE",
            "address_2": "UNIT 2104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247049",
            "telephone_number": "806-687-9414",
            "fax_number": "806-687-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALEY",
        "first_name": "SARAH",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "3-2013",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "32013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154470201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "86757A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.