MR. REGINALD ROOSEVELT HAYES - NPI NUMBER 1326373929

Summary

Provider Name: MR. REGINALD ROOSEVELT HAYES

NPI Number: 1326373929

Clasification: Counselor (101Y00000X)

Address:
1443 CHINOOK CT
SAN FRANCISCO, CA
ZIP 94130

Phone Number: (415) 746-1967



Detailed Information

MR. Reginald Roosevelt Hayes is a counselor in San Francisco, CA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master�s degree and clinical experience and supervision for licensure or certification. The assigned NPI number for this provider is 1326373929 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1443 CHINOOK CT
SAN FRANCISCO, CA
ZIP 94130-630
Phone: (415) 746-1967

The enumeration date for this NPI number is 10/15/2009 and was last updated on 10/15/2009.

Map - Location of Practice

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Taxonomy Codes

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 101Y00000X Counselor Yes

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1326373929 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 1 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Provider Last Name Legal Name HAYES The last name of the provider. If the provider is an individual, this is the legal name.
4 Provider First Name REGINALD The first name of the provider, if the provider is an individual.
5 Provider Middle Name ROOSEVELT The middle name of the provider, if the provider is an individual.
6 Provider Name Prefix Text MR. The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
7 Provider Name Suffix Text SR. The name suffix of the provider if the provider is an individual. The name suffix is a ‘‘generation-related’’ suffix, such as Jr., Sr., II, III, IV, or V.
8 Provider First Line Business Practice Location Address 1443 CHINOOK CT The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
9 Provider Business Practice Location Address City Name SAN FRANCISCO The city name in the location address of the provider being identified.
10 Provider Business Practice Location Address State Name CA The State code in the location of the provider being identified.
11 Provider Business Practice Location Address Postal Code 941301630 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
12 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
13 Provider Business Practice Location Address Telephone Number 4157461967 The telephone number associated with the location address of the provider being identified.
14 Provider Enumeration Date 10/15/2009 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 10/15/2009 The date that a record was last updated or changed.
16 Provider Gender Code M The code designating the provider’s gender if the provider is a person.
17 Healthcare Provider Taxonomy Code 1 101Y00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Sole Proprietor Y Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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