Allen Haysbert, C.A.T.C.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

200342 Issued in CA

Practice address

720 S B St
San Mateo, CA 94401

Phone

(650) 579-7881

NPI assigned

Jul 6, 2011

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

Other identifiers 1

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309910400000",
    "number": "1477840890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 N CLAREMONT ST # 2",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944011825",
            "telephone_number": "650-344-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 S B ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "94401",
            "telephone_number": "650-579-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYSBERT",
        "first_name": "ALLEN",
        "credential": "C.A.T.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "200342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA ASSOCIATION OF ALCOHOL & DRUG EDUCATORS",
            "identifier": "200342",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teesha Alice Haven
• Rebecca Jane Hawkins, ACSW
• David M Hayashi, D.D.S.
• Rosanne Hayes
• Lynne Haynes-Tucker, MD
• Paul E Hazelrig Jr., M.D.
• Kelsea Hazlehurst
• Mark Cameron Head
• Marcia Dolores Headley
• Heal Physical Therapy Inc

• Addiction (Substance Use Disorder) Counselor in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.