Organization Active NPI

Sarah J Haley PH.D. PC

  • Clinical Psychologist
  • Lubbock, TX
National Provider Identifier
1932525177
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
32013 Issued in TX
Legal business name
SARAH J HALEY PH.D. PC
Practice address
7021 Kewanee Ave
Unit 2104
Lubbock, TX 79424-4725
Phone
(806) 687-9414
Fax
(806) 687-9415
NPI assigned
Mar 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Dr. Sarah Jane Haley, PH.D.NPI 1407885395
Title
Psychologist/President of Corp.
Phone
(806) 687-9414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 32013 TX Primary

Addresses

Primary practice location

7021 Kewanee Ave
Unit 2104
Lubbock, TX 79424-4725

Mailing address

7021 Kewanee Ave
Unit 2104
Lubbock, TX 79424-7049
Phone (806) 687-9414

Other identifiers 1

IdentifierTypeStateIssuer
154470201MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1932525177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7021 KEWANEE AVE",
            "address_2": "UNIT 2104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794247049",
            "telephone_number": "806-687-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7021 KEWANEE AVE",
            "address_2": "UNIT 2104",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244725",
            "telephone_number": "806-687-9414",
            "fax_number": "806-687-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARAH J HALEY PH.D. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT OF CORP.",
        "authorized_official_telephone_number": "806-687-9414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "32013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "154470201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.