Amy Deneale Haynes, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21297 Issued in CA

Practice address

768 Pleasant Valley Rd Ste 201
Diamond Springs, CA 95619-9260

Phone

(530) 621-6339

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1578788105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 FOLSOM BLVD # 336",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958194608",
            "telephone_number": "831-206-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "768 PLEASANT VALLEY RD STE 201",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199260",
            "telephone_number": "530-621-6339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Natividad Rd",
            "address_2": "Room 200",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063122",
            "country_code": "US",
            "telephone_number": "831-755-4510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "AMY",
        "middle_name": "DENEALE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Harlow
• Susan P Harrell
• Barry Harwell
• Michelle Harwell
• Logan Taylor Hayes, MHW
• Hearts & Badges Family Counseling, Inc
• David William Henderson
• Nadine Lynn Hendricks, LCSW
• Richard Wayne Henifin, DDS
• Kate Lynne Hilbert, LMFT

• Clinical Psychologist in Diamond Springs, CA
• Providers in Diamond Springs, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.