Active NPI
Yolanda Sherraine Hayles, CATC-I
- Rehabilitation Counselor
- Hayward, CA
National Provider Identifier
1417570201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Practice address
- 107 Jackson St
Hayward, CA 94544-1948 - Phone
- (510) 886-8696
- NPI assigned
- May 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | CA | Primary |
Addresses
Primary practice location
107 Jackson St
Hayward, CA 94544-1948
Mailing address
22826 Vermont St Apt 114
Hayward, CA 94541-3201
Phone (510) 606-2291
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | scbox643.org | Other |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Chance Hayward Recovery Center | Past | 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.
-
- Community/Behavioral Health Agency
- Hayward, CA
- NPI 1356543011
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590537600000",
"number": "1417570201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22826 VERMONT ST APT 114",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413201",
"telephone_number": "510-606-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 JACKSON ST",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441948",
"telephone_number": "510-886-8696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYLES",
"first_name": "YOLANDA",
"middle_name": "SHERRAINE",
"credential": "CATC-I",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-27",
"last_updated": "2020-05-27",
"certification_date": "2020-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "scbox643.org",
"affiliation": "N",
"endpointDescription": "email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "work email",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "107 Jackson St",
"city": "Hayward",
"state": "CA",
"country_code": "US",
"postal_code": "945441948",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.