Ligare, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1951 Issued in AL

Legal business name

LIGARE, LLC

Practice address

2431 E Glenn Ave Ste 400
Auburn, AL 36830-6419

Phone

(334) 377-4900

Fax

(334) 377-4901

NPI assigned

Jan 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jennings B Haynes, PSY.D.NPI 1023354990

Title

Owner

Phone

(334) 377-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennings B. Haynes, PSY.D.

  • Clinical Psychologist
  • Auburn, AL
  • NPI 1023354990
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1730687237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 E GLENN AVE STE 400",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306419",
            "telephone_number": "334-377-4900",
            "fax_number": "334-377-4901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 E GLENN AVE STE 400",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368306419",
            "telephone_number": "334-377-4900",
            "fax_number": "334-377-4901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIGARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "JENNINGS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-377-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Auburn, AL
• Providers in Auburn, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.