Frederica Haley, LPA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1569 Issued in NC

Practice address

304 E Green St
Rockingham, NC 28379-3423

Phone

(910) 817-9181

Fax

(833) 909-9090

NPI assigned

Feb 4, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• 21St Century Counseling, PLLC

  • Clinical Social Worker
  • Rockingham, NC
  • NPI 1689198095
  NPD
• Sandhills Alternative Academy, LLC

  • Community/Behavioral Health Agency
  • Rockingham, NC
  • NPI 1285933937
  NPD (past)
• Sandhills Alternative Academy, LLC

  • Community/Behavioral Health Agency
  • Hamlet, NC
  • NPI 1578732475
  NPD (past)

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1821320664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 E GREEN ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793423",
            "telephone_number": "910-817-9181",
            "fax_number": "833-909-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 E GREEN ST",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793423",
            "telephone_number": "910-817-9181",
            "fax_number": "833-909-9090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Rockingham Rd",
            "address_purpose": "LOCATION",
            "city": "Rockingham",
            "state": "NC",
            "postal_code": "283793615",
            "country_code": "US",
            "telephone_number": "910-417-4922 x28",
            "fax_number": "910-417-4923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALEY",
        "first_name": "FREDERICA",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-04",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107343",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Guardian Care Transport
• Jennifer Amy Haddock, LCSWA
• Mitchel Austin Hadinger, M.ED., ATC, LAT
• Anthony Shonte' Hailey Jr., MSW
• Hairston Eldercare Services Inc
• Leonard Helms Haltiwanger, DMD MS
• Tammy L Hamann, LCSW
• Hamlet Hma PPM LLC
• Hamlet Hma PPM LLC (Richmond Surgical Clinic)
• Hamlet Hma PPM LLC (Sandhills Medical Group Biltmore Drive)

• Clinical Psychologist in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.