Active NPI
Hayley Pettit, PHD
- Psychologist
- Gallipolis, OH
National Provider Identifier
1609303262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 3086 Sr 160
Gallipolis, OH 45631-8409 - Phone
- (740) 446-5500
- NPI assigned
- May 15, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary | ||
| Mental Health Counselor | 101YM0800X | CA |
Addresses
Primary practice location
3086 Sr 160
Gallipolis, OH 45631-8409
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| Hopewell Health Centers, Inc. | Current | Accepting new patients | |
| Hopewell Health Centers Inc | Current | Accepting new patients | |
| Mindtree Holistic Counseling & Wellness Center LLC | Mental Health | Past | Accepting new patients |
Locations
90 Hospital Dr
Athens, OH 45701
Phone (740) 592-3091
3086 State Route 160
Gallipolis, OH 45631
Phone (740) 446-5500
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Athens, OH
- NPI 1699010348
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Gallipolis, OH
- NPI 1962919506
-
- Community/Retail Pharmacy
- The Plains, OH
- NPI 1215777230
-
- Marriage & Family Therapist
- Portland, OR
- NPI 1922692995
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1609303262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456010188",
"telephone_number": "740-773-4366",
"fax_number": "740-773-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3086 SR 160",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456318409",
"telephone_number": "740-446-5500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIT",
"first_name": "HAYLEY",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.