Marci Haines, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY-005437 Issued in AZ

Practice address

8966 W Yukon Dr
Peoria, AZ 85382-6448

Phone

(623) 680-6461

NPI assigned

Jan 25, 2022

Reactivated

Aug 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marci Talbot Former name

Medicare fee-for-service enrollment

Enrolled in AZ, UT2 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

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Utah Center for Psychological ServicesGroup PAC ID 0042745333, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Utah Center for Psychological Services

  • Clinical Psychologist
  • West Jordan, UT
  • NPI 1417659186
  Medicare reassignment Care Compare group NPD
• Marci Haines PSYD LLC

  • Clinical Psychologist
  • Peoria, AZ
  • NPI 1518606938
  Medicare reassignment Authorized official
• Southwest Behavioral Health Services Inc

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1144384389
  Medicare reassignment NPD
• Southwest Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1659380780
  NPD
• Southwest Behavioral Health Services, Inc.

  • Psychiatric Residential Treatment Facility
  • Kingman, AZ
  • NPI 1023556339
  NPD

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1992457402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8966 W YUKON DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826448",
            "telephone_number": "623-680-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8966 W YUKON DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826448",
            "telephone_number": "623-680-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAINES",
        "first_name": "MARCI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "deactivation_date": "2022-06-02",
        "reactivation_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "PSY-005437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCI",
            "last_name": "TALBOT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Haggard Chiropractic II LLC
• Justin David Haggard, D.C.
• Blake Hahn
• Nadia Kham Haidow
• Tesfay Mezgebe Hailu
• Anthony Hairapetian, M.A.
• Adugna Busa Haji
• Georgette Fabiola Hakizimana
• Corliss Kelly Hales, RDH
• Half Dental Inc

• Clinical Psychologist in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.