Active NPI
Richard Carl Halas, MA
- Psychologist
- Euclid, OH
National Provider Identifier
1558356550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1667
- Practice address
- 26300 Euclid Ave
#716
Euclid, OH 44132-3708 - Phone
- (216) 289-8930
- Fax
- (216) 289-8934
- NPI assigned
- Sep 15, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1667 | OH | Primary |
Addresses
Primary practice location
26300 Euclid Ave
#716
Euclid, OH 44132-3708
Mailing address
26300 Euclid Ave
#716
Euclid, OH 44132-3708
Phone (216) 289-8930
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
- Credentials
- Master of Arts, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1667 | OH | MD | Neonatal-Perinatal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317600000000",
"number": "1558356550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26300 EUCLID AVE",
"address_2": "#716",
"city": "EUCLID",
"state": "OH",
"postal_code": "441323708",
"telephone_number": "216-289-8930",
"fax_number": "216-289-8934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26300 EUCLID AVE",
"address_2": "#716",
"city": "EUCLID",
"state": "OH",
"postal_code": "441323708",
"telephone_number": "216-289-8930",
"fax_number": "216-289-8934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALAS",
"first_name": "RICHARD",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-15",
"last_updated": "2011-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "1667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.