CAROLYN BRENNAN HAINES, PH.D., P.C.
NPI 1093764128
Preferred Provider Organization in Holly Springs, NC

Active since May 08, 2006
1112 CROSSWAY LN, HOLLY SPRINGS, NC 27540(919) 285-4584 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Preferred Provider Organization

About CAROLYN BRENNAN HAINES, PH.D., P.C.

This page provides the complete NPI Profile along with additional information for Carolyn Brennan Haines, Ph.d., P.c., a provider established in Holly Springs, North Carolina operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1093764128 assigned on May 2006. The practitioner's primary taxonomy code is 305R00000X with license number 3509 (NC). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Carolyn Brennan Haines Ph.d. (President)

NPI
1093764128 Verify this NPI
Provider Name
CAROLYN BRENNAN HAINES, PH.D., P.C.
Entity Type
Organization
Location Address
1112 CROSSWAY LN HOLLY SPRINGS, NC 27540
Location Phone
(919) 285-4584
Mailing Address
1112 CROSSWAY LN HOLLY SPRINGS, NC 27540
Mailing Phone
(919) 285-4584
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-08-2006
Last Update Date
04-15-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
3509
License State
NC
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC1900XBehavioral Health & Social Service Providers

Psychologist
Counseling

8472 (MA)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. CAROLYN BRENNAN HAINES PH.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(919) 285-4594

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093764128, enumerated as an "organization" on May 08, 2006.

The provider is located at 1112 CROSSWAY LN HOLLY SPRINGS, NC 27540 and the phone number is (919) 285-4584.

Preferred Provider Organization with taxonomy code 305R00000X.