JAMES THOMAS HALEY (PH.D.) – Counseling Psychologist, NPI 1003914797

JAMES THOMAS HALEY (PH.D.) is a healthcare provider. based in Omaha, Nebraska. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 00812 (IA). The NPI Number for JAMES THOMAS HALEY (PH.D.) is 1003914797

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
JAMES THOMAS HALEY (PH.D.)
NPI
1003914797
Phone
(402) 330-1537
Address
12728 AUGUSTA AVE, STE 150
Enumeration Date
20 September 2006
Last Update Date
21 January 2011

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
402330153716
Graduation Year
2009 (17 years ago)
PAC ID
8820266729
Professional Enrollment ID
I20110720000406
Address ID
NE681443753OM12728AVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

200 CLINICAL PSYCHOLOGIST in NE

Provider Addresses for JAMES THOMAS HALEY (PH.D.)

  • 12728 AUGUSTA AVE, STE 150

    OMAHA, NE 68144

    Phone: (402) 330-1537

    Fax: (402) 330-9331

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-07-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110720000406IClinical PsychologistNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68144)

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Reviews

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Frequently asked questions

What federal number belongs to JAMES THOMAS HALEY (PH.D.)?
The federal identifier for JAMES THOMAS HALEY (PH.D.) is NPI 1003914797.
Does this profile mean JAMES THOMAS HALEY (PH.D.) is currently active?
Yes — JAMES THOMAS HALEY (PH.D.) appears active in the national provider directory.
Does JAMES THOMAS HALEY (PH.D.) list a primary specialty?
If you are matching referrals, note Counseling Psychologist for JAMES THOMAS HALEY (PH.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for JAMES THOMAS HALEY (PH.D.)?
The page summarizes Omaha, Nebraska for JAMES THOMAS HALEY (PH.D.); expand the address list for detail.
Is JAMES THOMAS HALEY (PH.D.) a real provider?
This page reflects official NPPES data for NPI 1003914797. Always confirm identity and privileges with the practice and licensing boards.

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