Provider Demographics
NPI:1326262080
Name:HAYES, BARRY (PHD)
Entity Type:Individual
Prefix:
First Name:BARRY
Middle Name:
Last Name:HAYES
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18809 COX AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:SARATOGA
Mailing Address - State:CA
Mailing Address - Zip Code:95070-6617
Mailing Address - Country:US
Mailing Address - Phone:408-378-0730
Mailing Address - Fax:408-374-8470
Practice Address - Street 1:18809 COX AVE STE 290
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:CA
Practice Address - Zip Code:95070-6617
Practice Address - Country:US
Practice Address - Phone:408-378-0730
Practice Address - Fax:408-374-8470
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY3059103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00PL30590Medicare UPIN