Active NPI
Michael Haymes, PH.D.
- Psychologist
- Cromwell, CT
National Provider Identifier
1609960327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 749
- Practice address
- 494 Main St
Cromwell, CT 06416-2040 - Phone
- (860) 632-1296
- NPI assigned
- Oct 3, 2006
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 749 | CT | |
| Behavior Analyst | 103K00000X | 749 | CT | |
| Psychologist | 103T00000X | 749 | CT | Primary |
| Cognitive & Behavioral Psychologist | 103TB0200X | 749 | CT | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 749 | CT | |
| Forensic Psychologist | 103TF0200X | 749 | CT | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 749 | CT |
Addresses
Primary practice location
494 Main St
Cromwell, CT 06416-2040
Mailing address
494 Main St
Suite 200
Cromwell, CT 06416-2040
Phone (860) 632-1296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004008983 | Medicaid | CT |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 749 | CT | MD | Cognitive & Behavioral Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361923200000",
"number": "1609960327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "494 MAIN ST",
"address_2": "SUITE 200",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162040",
"telephone_number": "860-632-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "494 MAIN ST",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162040",
"telephone_number": "860-632-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYMES",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2013-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "749",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CT",
"license": "749",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "749",
"primary": true
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CT",
"license": "749",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CT",
"license": "749",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CT",
"license": "749",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CT",
"license": "749",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004008983",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.