Jacolyn Beth Haughey, MSOTR,L

Primary specialty

SpecialistTaxonomy code 174400000X

License

U1-0000791 Issued in DE

Practice address

22317 Dupont Blvd
Georgetown, DE 19947-2153

Phone

(302) 856-7364

Fax

(302) 856-7296

NPI assigned

Jun 4, 2007

Sex

Female

Sole proprietor

No

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

Practice roles

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.

• Easter Seals Delaware & Marylands Eastern Shore, Inc

  • Intellectual & Developmental Disabilities Psychologist
  • New Castle, DE
  • NPI 1437156635
  NPD (past)

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427250398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22317 DUPONT BLVD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472153",
            "telephone_number": "302-856-7364",
            "fax_number": "302-856-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22317 DUPONT BLVD",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199472153",
            "telephone_number": "302-856-7364",
            "fax_number": "302-856-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGHEY",
        "first_name": "JACOLYN",
        "middle_name": "BETH",
        "credential": "MSOTR,L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "DE",
            "license": "U1-0000791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Senior Living of Georgetown, LLC
• Mary Harshman, PT, DPT
• Rachel Elizabeth Hartman, O.D.
• Maria Lynne Hartmeyer
• Naomi Hastings
• Jessica A. Hawbaker, RN
• Bethany Hawkins-Parry, LCSW
• Debra Lynn Hayes, APRN
• John Hayes, LACMH
• Elizabeth Heaney, OTR/L

• Specialist in Georgetown, DE
• Providers in Georgetown, DE by specialty
• Specialist in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.