Active NPI
Lynn L Haley, PSYD
- Psychologist
- Fairfield, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6156
- Practice address
- 3050 Mack Rd
Suite 205
Fairfield, OH 45014-5379 - Phone
- (513) 682-6980
- Fax
- (513) 981-5753
- NPI assigned
- Feb 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6156 | OH | Primary |
Addresses
Primary practice location
3050 Mack Rd
Suite 205
Fairfield, OH 45014-5379
Mailing address
3050 Mack Rd
Suite 205
Fairfield, OH 45014-5379
Phone (513) 682-6980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2647309 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Wright State University Boonshoft School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3050 Mack Rd
Suite 205
Fairfield, OH 45014-5376
Phone (513) 682-6980
8549 Montgomery Rd
Cincinnati, OH 45236-2366
Phone (513) 984-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6156 | OH | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati LLC | Current | Accepting new patients | |
| Lynn L Haley, PSYD, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati, LLC | Current | Accepting new patients | |
| Mercy Health Physicians Cincinnati Specialty Care LLC | Current | Accepting new patients | |
| Charles M. Buhrman, Jr., PSYD, LLC | Psychologist | Past | Accepting new patients |
Locations
8549 Montgomery Rd
Cincinnati, OH 45236
Phone (513) 984-3099
2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500
3050 Mack Rd
Ste 205
Fairfield, OH 45014
Phone (513) 682-6980
1301 Mattec Dr
Loveland, OH 45140
Phone (513) 454-7246
201 Old Bank Rd
Ste 103
Milford, OH 45150
Phone (513) 248-0100
Organizations & group practices 6
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.
-
- Clinical Psychologist
- Cincinnati, OH
- NPI 1811236250
-
- Surgery Physician
- Blue Ash, OH
- NPI 1154942795
-
- Durable Medical Equipment & Medical Supplies
- Liberty Township, OH
- NPI 1790281517
-
- Durable Medical Equipment & Medical Supplies
- Liberty TWP, OH
- NPI 1730993270
-
- Family Medicine Physician
- Blue Ash, OH
- NPI 1205887023
-
- Psychologist
- Cincinnati, OH
- NPI 1245292663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312416000000",
"number": "1851364871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 MACK RD",
"address_2": "SUITE 205",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145379",
"telephone_number": "513-682-6980",
"fax_number": "513-981-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 MACK RD",
"address_2": "SUITE 205",
"city": "FAIRFIELD",
"state": "OH",
"postal_code": "450145379",
"telephone_number": "513-682-6980",
"fax_number": "513-981-5753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEY",
"first_name": "LYNN",
"middle_name": "L",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-09",
"last_updated": "2011-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "6156",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2647309",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.