JEFFREY HAYNES LADC NPI 1275659450

NPI Information

NPI: 1275659450
Provider Name: JEFFREY HAYNES, LADC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1 LONG WHARF DR
NEW HAVEN, CT
ZIP 06511
Phone: (203) 781-4600
Get Directions

Jeffrey Haynes, LADC is an addiction (substance use disorder) counselor in New Haven, CT. Jeffrey Haynes, LADC NPI is 1275659450. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 LONG WHARF DR
NEW HAVEN, CT
ZIP 06511-946
Phone: (203) 781-4600
Fax: (203) 781-4624

The enumeration date for this NPI number is 3/21/2007 and was last updated on 1/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	000874	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	004082286	MEDICAID	CONNECTICUT
2	008022626	MEDICAID	CONNECTICUT
3	008050283	OTHER	CONNECTICUT	MEDICAID (HAYNES)
4	500000315	MEDICAID	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »