Active NPI
Neal Hailey, LMFT #123912
- Marriage & Family Therapist
- Oakland, CA
National Provider Identifier
1609434356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 123912
- Practice address
- 7033 Thornhill Dr
Oakland, CA 94611-1338 - Phone
- (415) 938-7051
- NPI assigned
- May 29, 2019
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 123912 | CA | Primary |
Addresses
Primary practice location
7033 Thornhill Dr
Oakland, CA 94611-1338
Mailing address
7033 Thornhill Dr
Oakland, CA 94611-1338
Phone (415) 519-3870
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123912 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Center for Human Growth | Past | Accepting new patients | |
| Pacific Center for Human Growth | Past | Accepting new patients |
Organizations & group practices 2
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)
- Berkeley, CA
- NPI 1043434095
-
- Community/Behavioral Health Agency
- Berkeley, CA
- NPI 1275687717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1609434356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7033 THORNHILL DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111338",
"telephone_number": "415-519-3870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7033 THORNHILL DR",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946111338",
"telephone_number": "415-938-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAILEY",
"first_name": "NEAL",
"credential": "LMFT #123912",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-29",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "123912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.