Iris A Hailey, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

115175 Issued in MA

Practice address

1500 Providence Hwy
S22B
Norwood, MA 02062-4630

Phone

(780) 255-0070

Fax

(866) 442-9954

NPI assigned

Aug 30, 2009

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

Enrolled in MA

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 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay State Community Services IncGroup PAC ID 2062450307, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Bay State Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Quincy, MA
  • NPI 1134126865
  Medicare reassignment Care Compare group NPD
• New England Associates for Psychological Services

  • Psychologist
  • Bourne, MA
  • NPI 1174725774
  NPD (past)

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

{
    "created_epoch": "1251590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251590400000",
    "number": "1962635581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MOUNT VERNON ST",
            "address_2": "S233",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018902704",
            "telephone_number": "781-255-0070",
            "fax_number": "866-442-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PROVIDENCE HWY",
            "address_2": "S22B",
            "city": "NORWOOD",
            "state": "MA",
            "postal_code": "020624630",
            "telephone_number": "780-255-0070",
            "fax_number": "866-442-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAILEY",
        "first_name": "IRIS",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-30",
        "last_updated": "2009-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "115175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guild CT and MRI Center
• Apurv Gupta, M.D.
• Rachel Kathryn Gustafson
• Illyse S. Habbe, PSY.D.
• Hadi Haidar DMD, PC
• Kaitlin Haines, M.ED
• Evelyn Everett Hale, M.D.
• Haley Dental Corp (Norwood Dental Center)
• Hanna Halibus, NP
• Arielle F Hall, PSY.D.

• Mental Health Counselor in Norwood, MA
• Providers in Norwood, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2009; 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.

Verify at the official NPI Registry.