Provider Demographics
NPI:1801161203
Name:HAYES, GARY AIDAN (PHD)
Entity type:Individual
Prefix:DR
First Name:GARY
Middle Name:AIDAN
Last Name:HAYES
Suffix:
Gender:
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1303 JEFFERSON ST SUITE 600A
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559
Mailing Address - Country:US
Mailing Address - Phone:415-827-9969
Mailing Address - Fax:707-253-0457
Practice Address - Street 1:1303 JEFFERSON ST SUITE 600A
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559
Practice Address - Country:US
Practice Address - Phone:415-827-9969
Practice Address - Fax:707-253-0457
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-19
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY10335103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical