Active NPI
Bita P Haynes, PHD
- Clinical Psychologist
- Miami, FL
National Provider Identifier
1730912908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY36149
- Practice address
- 1155 Brickell Bay Dr
Miami, FL 33131-2983 - Phone
- (408) 960-3900
- NPI assigned
- Aug 23, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8233 | FL | |
| Clinical Psychologist | 103TC0700X | PSY36149 | CA | Primary |
| Behavior Analyst | 103K00000X | |||
| Group Psychotherapy Psychologist | 103TP2701X | |||
| Family Psychologist | 103TF0000X | |||
| Adult Development & Aging Psychologist | 103TA0700X | |||
| Health Psychologist | 103TH0004X | |||
| Clinical Child & Adolescent Psychologist | 103TC2200X | |||
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X |
Addresses
Primary practice location
1155 Brickell Bay Dr
Miami, FL 33131-2983
Mailing address
936 SW 1St Ave # 322
Miami, FL 33130-4520
Phone (408) 960-3900
Other practice location 1
725 Welch Rd
Palo Alto, CA 94304-1601
Phone (800) 516-0975
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 |
|---|---|---|---|
| PSY36149 | CA | MD | Clinical Psychologist |
| PY8233 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1730912908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "936 SW 1ST AVE # 322",
"city": "MIAMI",
"state": "FL",
"postal_code": "331304520",
"telephone_number": "408-960-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 BRICKELL BAY DR",
"city": "MIAMI",
"state": "FL",
"postal_code": "331312983",
"telephone_number": "408-960-3900"
}
],
"practiceLocations": [
{
"address_1": "725 Welch Rd",
"address_purpose": "LOCATION",
"city": "Palo Alto",
"state": "CA",
"postal_code": "943041601",
"country_code": "US",
"telephone_number": "800-516-0975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYNES",
"first_name": "BITA",
"middle_name": "P",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-23",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8233",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY36149",
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.