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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MYCHAEL SHAWN HAYSBERT
NPI 1770325359
Peer Specialist in San Jose, CA

Active since June 12, 2024
210 N 4TH ST, SAN JOSE, CA 95112(669) 245-3429 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, May 27, 2026, May 14, 2026 and 3 more (6 updates tracked since 2024).

About Mychael Shawn Haysbert NPPES

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

MYCHAEL SHAWN HAYSBERT (NPI 1770325359) is an individual peer specialist in San Jose, California and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1770325359
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMYCHAEL SHAWN HAYSBERT
Location Address210 N 4TH STSan Jose, CA 95112-5569
Mailing Address210 N 4th StSan Jose, CA 95112-5569 · (669) 245-3429
Phone(669) 245-3429
Sole ProprietorYes
Enumeration DateJune 12, 2024
Last NPPES UpdateAugust 11, 20266 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1770325359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
210 N 4TH ST, San Jose, CA 95112
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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.

GEMMA BERDIN
Licensed Vocational Nurse
210 N 4TH ST, SUITE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
SUNHA JOHANNA TALLAKSON
Counselor (Mental Health)
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (510) 856-7251
SONJA DILLARD
Rehabilitation Counselor
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (510) 337-7950
ALYSSA BRIGGS
Counselor
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
CHRISTOPHER A HERRERA
Peer Specialist
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (669) 245-3429
MS. BARBARA ARNOLDUSSEN RN
Counselor (Mental Health)
210 N 4TH ST, SUITE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
LILY TRAN
Social Worker
210 N 4TH ST, SUITE 100
SAN JOSE, CA 95112
Santa Clara County (408) 295-5288
NHAN D DO
Rehabilitation Practitioner
210 N 4TH ST
SAN JOSE, CA 95112
Santa Clara County (408) 512-4927

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 Mychael Haysbert's NPI number?

The NPI number for Mychael Haysbert is 1770325359. It was assigned to this individual provider in the NPPES registry on June 12, 2024.

Where is Mychael Haysbert located?

Mychael Haysbert practices at 210 N 4th St, San Jose, CA 95112. The listed phone number is (669) 245-3429.

What is Mychael Haysbert's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Mychael Haysbert was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.