DR. GUSTAVO R. HALLEY PSYD
NPI 1316011547
Psychologist - Health Service in Raleigh, NC

Q: What is Gustavo Halley's NPI number?

The NPI number for Gustavo Halley is 1316011547. It was assigned to this individual provider in the NPPES registry on November 20, 2006. The provider is also known as Gustavo R Halley Julia Psyd.

Q: What is Gustavo Halley's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: Is Gustavo Halley enrolled in Medicare?

No. Gustavo Halley has opted out of Medicare through October 5, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Gustavo Halley was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 20, 2006Opted out of Medicare · through Oct 5, 2026

8601 SIX FORKS RD STE 400, RALEIGH, NC 27615(919) 356-1739 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2023, Apr 12, 2023, Jul 4, 2017 (3 updates tracked since 2017).

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About Dr. Gustavo R. Halley Psyd NPPES

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

DR. GUSTAVO R. HALLEY PSYD (NPI 1316011547) is an individual health service provider in Raleigh, North Carolina, licensed in North Carolina (6320) and active in the NPI registry since November 2006. He has opted out of Medicare through October 5, 2026 and maintains a secondary practice location in Aguadilla.

NPPES Registry Identity

NPI1316011547

Entity TypeIndividualMale

Primary Taxonomy103TH0100X

Provider Legal NameDR. GUSTAVO R. HALLEYCredential: PSYD

Location Address8601 SIX FORKS RD STE 400Raleigh, NC 27615-5276

Mailing Address2124 Longmont DrWake Forest, NC 27587-5910 · (787) 362-5479

Phone(919) 356-1739

Sole ProprietorYes

Enumeration DateNovember 20, 2006

Last NPPES UpdateJuly 14, 20233 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1316011547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in NC · 6320

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PS1194 (ME), 02002 (PR)

8601 SIX FORKS RD STE 400, Raleigh, NC 27615

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Other Names 1

Former Name (1)Gustavo R Halley Julia Psyd

Secondary Practice Location 1

Location 1State Road #2 Km. 124.2, corrales WardAguadilla, PR 00603 · Phone (787) 891-8664

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Gustavo R. Halley Psyd 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 October 5, 2022 through October 5, 2026.

Opt-Out Effective DateOctober 5, 2022

Opt-Out In Effect ThroughOctober 5, 2026Opt-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.

LIBERTY WELLNESS SERVICES

Internal Medicine