Individual provider Active NPI

Haley Morgan Shields, BEHAVIOR TECHNICIAN

  • Behavior Technician
  • Temecula, CA
National Provider Identifier
1972279586
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
27555 Ynez Rd Ste 406
Temecula, CA 92591-4679
Phone
(951) 694-5932
Fax
(951) 694-5920
NPI assigned
Aug 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X CA Primary

Addresses

Primary practice location

27555 Ynez Rd Ste 406
Temecula, CA 92591-4679

Mailing address

8787 Complex Dr Ste 300
San Diego, CA 92123-1453
Phone (619) 797-1090

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL CentralReach Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Finch Youth Center CurrentSince Dec 13, 2022 Accepting new patients
Fred Finch Youth Center Cares CurrentSince Dec 13, 2022 Accepting new patients

Locations

8787 Complex Dr
Ste 300
San Diego, CA 92123
Phone (619) 797-1090

27555 Ynez Rd
Ste 406
Temecula, CA 92591
Phone (619) 797-1090

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1972279586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 COMPLEX DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231453",
            "telephone_number": "619-797-1090",
            "fax_number": "584-448-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 406",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914679",
            "telephone_number": "951-694-5932",
            "fax_number": "951-694-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "HALEY",
        "middle_name": "MORGAN",
        "credential": "BEHAVIOR TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CentralReach",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CentralReach",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CentralReach",
            "address_1": "8787 Complex Dr Ste 300",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921231453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.