Jonathan Charles Hayes – School Psychologist

Key facts

NPI: 1609209113
Entity type: Individual (NPI type 1)
Primary specialty: School Psychologist 103TS0200X
License: 232209 (SC)
Practice address: 3535 Clifton Glendale Rd.
Glendale, SC 29346-0267
Phone: (864) 279-6000
Fax: (864) 279-6061
NPI assigned: Aug 20, 2013
Sex: Male
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
232209	SC	MD	School Psychologist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
School Psychologist	103TS0200X	232209	SC	Yes

Addresses

Primary practice location

3535 Clifton Glendale Rd.
Glendale, SC 29346-0267

Mailing address

PO Box 267
Glendale, SC 29346-0267
Phone (864) 279-6000

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 20, 2013.

{
    "created_epoch": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1609209113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "GLENDALE",
            "state": "SC",
            "postal_code": "293460267",
            "telephone_number": "864-279-6000",
            "fax_number": "864-279-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 CLIFTON GLENDALE RD.",
            "city": "GLENDALE",
            "state": "SC",
            "postal_code": "293460267",
            "telephone_number": "864-279-6000",
            "fax_number": "864-279-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "credential": "SPECIALIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "SC",
            "license": "232209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, SC

All providers in Glendale, SC · School Psychologist in South Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.