Timothy P. Hayes, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012381 Issued in NY

Practice address

315 S Crouse Ave
Suite 301
Syracuse, NY 13210-1845

Phone

(315) 422-1722

Fax

(315) 422-1741

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1619087087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 S CROUSE AVE",
            "address_2": "SUITE 301",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101845",
            "telephone_number": "315-422-1722",
            "fax_number": "315-422-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S CROUSE AVE",
            "address_2": "SUITE 301",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101845",
            "telephone_number": "315-422-1722",
            "fax_number": "315-422-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "TIMOTHY",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hayes-Penhollow, MS OTR-L
• Elizabeth Mary Peterson Hayes, NP
• Gina Felice Hayes, MD
• Kayla Marie Hayes, CASAC
• Morgan Hayes, MSN, PMHNP-BC
• Zachary Hayes, PHARMD
• Sandra Marie Hayles, RN
• Judy Hayman, PH.D.
• Tausha Haynes, NURSE PRACTITIONER
• Jill Marie Hayward, RN

• Clinical Psychologist in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.