Dorothy Haynes, MA,CCS,NCAC2,SAP,RAS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

H0501041743 Issued in CA

Practice address

2523 El Portal Dr
Suite #206
San Pablo, CA 94806-3305

Phone

(510) 374-7011

NPI assigned

Jul 12, 2007

Last updated

Jul 12, 2007By the provider in NPPES

Sex

Female

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)

Not enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tri-Cities

  • Counselor
  • Richmond, CA
  • NPI 1295948669
  Authorized official Same address or phone

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1801095625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "address_2": "SUITE #206",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-374-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2523 EL PORTAL DR",
            "address_2": "SUITE #206",
            "city": "SAN PABLO",
            "state": "CA",
            "postal_code": "948063305",
            "telephone_number": "510-374-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "DOROTHY",
        "name_prefix": "Mrs.",
        "credential": "MA,CCS,NCAC2,SAP,RAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "H0501041743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keyani Rebecca Renee Harper
• Arthur Lee Harris, LMFT
• Ryan Hasten, PTA
• Jenika Nicole Hatcher, DDS
• Brittany Brooke Hatfield
• Kaela Alessandra Headings
• Mia Janay Aurora Henderson-Bonilla
• Christopher Henty-Clark, PTA
• Guiomar Hernandez Bermudez
• Adam Hernandez Rodriguez, LMFT

• Case Manager/Care Coordinator in San Pablo, CA
• Providers in San Pablo, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.