Individual provider Active NPI

Chanae Joi Haylock, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Elk Grove, CA
National Provider Identifier
1609588979
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95024542 Issued in CA
Practice address
9381 E Stockton Blvd Ste 204
Elk Grove, CA 95624-5070
Phone
(855) 501-1004
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024542 CA Primary

Addresses

Primary practice location

9381 E Stockton Blvd Ste 204
Elk Grove, CA 95624-5070

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954

Other practice location 1

9291 Laguna Green Ct
Elk Grove, CA 95758-5047
Phone (626) 375-5476

Other names 1

  • Mrs. Joi Haylock Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230707000241 CA Practitioner - Nurse Practitioner 2860851912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Centers of AmericaGroup PAC ID 3476813460, 112 clinicians

Practice addresses (Care Compare)

5320 Hwy 49 N
Suite 1 3
Mariposa, CA 95338-9588
Phone (209) 966-2344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers of America CurrentSince Oct 24, 2024 Accepting new patients
Memory Check Psychological Services, a Professional Corporation Psychiatric/Mental Health CurrentSince Apr 26, 2023 Accepting new patients
Community Health Centers of America CurrentSince Oct 24, 2024 Accepting new patients
Mark David Levine, MD Burlingame PC PastSince Jun 1, 2026 Accepting new patients

Locations

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

6608 Mercy Ct
Fair Oaks, CA 95628
Phone (916) 277-8881

6608 Mercy Ct
Ste B
Fair Oaks, CA 95628
Phone (916) 277-8881

2928 Eastern Ave
Sacramento, CA 95821
Phone (916) 894-8212

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1609588979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9381 E STOCKTON BLVD STE 204",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245070",
            "telephone_number": "855-501-1004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9291 Laguna Green Ct",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "957585047",
            "country_code": "US",
            "telephone_number": "626-375-5476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYLOCK",
        "first_name": "CHANAE JOI",
        "name_prefix": "Mrs.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOI",
            "last_name": "HAYLOCK",
            "prefix": "MRS.",
            "credential": "PMHNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.