Active NPIIndividual providerSole proprietor

Dr. Gustavo R Halley, PSYD

Psychologist, Health Service in Raleigh, North Carolina

NPI Number1316011547
Practice location
8601 Six Forks RD Ste 400, Raleigh, NC 27615-5276
Fax
—
Last updated
July 14, 2023

Gustavo R. Halley is a Psychologist, Health Service based in Raleigh, NC. Gustavo R. Halley practices in Raleigh, NC and has the professional credentials of PSYD. The NPI Number for Gustavo R. Halley is 1316011547 and holds a License No. PS1194 (ME). The current practice location address for Gustavo R. Halley is 8601 Six Forks RD Ste 400, Raleigh, NC 27615-5276 and can be reached out via phone at 919-356-1739.

Provider Profile Details

NPI Number
1316011547
Provider Name
Gustavo R. Halley
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
8601 Six Forks RD Ste 400, Raleigh, NC 27615-5276
Phone Number
919-356-1739
Primary Taxonomy
Psychologist, Health Service · 103TH0100X
Sole Proprietor
Yes
Other Names
Gustavo R Halley Julia, PSYD (Former Name)
Provider Enumeration Date
November 20, 2006
Last Update Date
July 14, 2023
Certification Date
July 14, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
8601 Six Forks RD Ste 400
Raleigh, NC 27615-5276
Zip
27615-5276
Phone Number
919-356-1739
Raleigh, NC 27615Get directions →

Provider Business Mailing Address Details

Address
2124 Longmont Dr
Wake Forest, NC 27587-5910
City
Wake Forest
State
NC
Zip
27587-5910
Phone Number
787-362-5479

License Information

License Number (1)
PS1194
License State (1)
ME
Taxonomy (1)
Psychologist, Clinical · 103TC0700X
License Number (2)
02002
License State (2)
PR
Taxonomy (2)
Psychologist, Clinical · 103TC0700X
License Number (3)
6320
License State (3)
NC
Taxonomy (3)
Psychologist, Health Service · 103TH0100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Gustavo R Halley, PSYD?

The NPI number of Dr. Gustavo R Halley, PSYD is 1316011547. It was assigned on November 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Gustavo R Halley, PSYD?

Dr. Gustavo R Halley, PSYD is registered under the primary taxonomy Psychologist, Health Service (code 103TH0100X), licensed in ME under license number PS1194.

Where does Dr. Gustavo R Halley, PSYD practice?

The practice location is 8601 Six Forks RD Ste 400, Raleigh, NC 27615-5276. The office can be reached at 919-356-1739 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316011547 directly on the NPPES registry website.

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