Active NPI
John R. Haney, PH.D.
- Clinical Psychologist
- Decatur, AL
National Provider Identifier
1982784476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 219
- Practice address
- 1615 Kathy LN SW
Decatur, AL 35603-1026 - Phone
- (256) 306-4146
- Fax
- (256) 351-1424
- NPI assigned
- Oct 17, 2006
- Last updated
- Sep 14, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 219 | AL | Primary |
Addresses
Primary practice location
1615 Kathy LN SW
Decatur, AL 35603-1026
Mailing address
PO Box 5105
Decatur, AL 35601-0105
Phone (256) 306-4146
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110315000195 | AL | Practitioner - Other (Physician) | 1759563661 | Practice locations: Decatur, AL |
| I20151106001644 | AL | Practitioner - Clinical Psychologist | 1759563661 | Practice locations: Decatur, AL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219 | AL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284422400000",
"number": "1982784476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5105",
"city": "DECATUR",
"state": "AL",
"postal_code": "356010105",
"telephone_number": "256-306-4146",
"fax_number": "256-351-1424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 KATHY LN SW",
"city": "DECATUR",
"state": "AL",
"postal_code": "356031026",
"telephone_number": "256-306-4146",
"fax_number": "256-351-1424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANEY",
"first_name": "JOHN",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2010-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.