Individual provider Active NPI

Haley Kathleen Elder, PH.D.

  • Clinical Psychologist
  • Asheville, NC
National Provider Identifier
1932459518
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4653 Issued in NC
Practice address
1085 Tunnel Rd
Unit 7a
Asheville, NC 28805-2056
Phone
(828) 350-1177
NPI assigned
Sep 11, 2012
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 019768-1 NY
Clinical Psychologist 103TC0700X 4653 NC Primary

Addresses

Primary practice location

1085 Tunnel Rd
Unit 7a
Asheville, NC 28805-2056

Mailing address

1085 Tunnel Rd
Unit 7a
Asheville, NC 28805-2056
Phone (828) 350-1177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141103001758 NC Practitioner - Psychologist Billing Independently 7113176918
I20240816004061 NC Practitioner - Clinical Psychologist 7113176918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Walden Ridge Dr
Suite 90
Asheville, NC 28803-8598
Phone (828) 350-1177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4653NCMDOccupational Therapy Assistant
019768-1NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of North Carolina, PC CurrentSince Jul 7, 2024 Accepting new patients
Optum Behavioral Care of North Carolina, PC Current Accepting new patients
Optum Behavioral Care of North Carolina, P.C. CurrentSince Jul 7, 2024 Accepting new patients

Locations

11000 Optum Cir
Eden Prairie, MN 55344
Phone (888) 445-8745

1101 Marco Dr
Ste 200
Apex, NC 27502
Phone (844) 534-7202

2 Walden Ridge Dr
Ste 80
Asheville, NC 28803
Phone (828) 708-5274

2 Walden Ridge Dr
Ste 90
Asheville, NC 28803
Phone (828) 579-2393

7400 Carmel Executive Park Dr
Ste 155
Charlotte, NC 28226
Phone (844) 534-7208

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1932459518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 TUNNEL RD",
            "address_2": "UNIT 7A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052056",
            "telephone_number": "828-350-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 TUNNEL RD",
            "address_2": "UNIT 7A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288052056",
            "telephone_number": "828-350-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDER",
        "first_name": "HALEY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "019768-1",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "4653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.