MS. KATHLEEN HELEN HALEY
NPI 1023390218
Student in an Organized Health Care Education/Training Program in Berkeley, CA

Active since September 13, 2011Opted out of Medicare · through Jan 1, 2028
2712 TELEGRAPH AVE, BERKELEY, CA 94705(510) 558-8283 Get Directions Write a Review

NPPES record last updated: September 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kathleen Helen Haley NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. KATHLEEN HELEN HALEY (NPI 1023390218) is an individual student in an organized health care education/training program in Berkeley, California and active in the NPI registry since September 2011. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1023390218
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMS. KATHLEEN HELEN HALEY
Location Address2712 TELEGRAPH AVEBerkeley, CA 94705-1117
Mailing Address6064 Mcbryde AveRichmond, CA 94805-1221 · (510) 506-6207
Sole ProprietorYes
Enumeration DateSeptember 13, 2011
NPI 1023390218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2712 TELEGRAPH AVE, Berkeley, CA 94705

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ms. Kathleen Helen Haley has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Counselor (Mental Health)
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705
Student in an Organized Health Care Education/Training Program
2712 TELEGRAPH AVE
BERKELEY, CA 94705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Haley's NPI number?

The NPI number for Kathleen Haley is 1023390218. It was assigned to this individual provider in the NPPES registry on September 13, 2011.

Where is Kathleen Haley located?

Kathleen Haley practices at 2712 Telegraph Ave, Berkeley, CA 94705. The listed phone number is (510) 558-8283.

What is Kathleen Haley's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Kathleen Haley enrolled in Medicare?

No. Kathleen Haley has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kathleen Haley was last updated on September 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.