DUSTIN O. HAYES, D.O., P.C. – NPI #1124561113
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Health Care Provider Taxonomy Code for Clinic/Center

DUSTIN O. HAYES, D.O., P.C. is an AHC clinic located in BROKEN ARROW, OK. NPPES has assigned the NPI number 1124561113 to DUSTIN O. HAYES, D.O., P.C. on November 23, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. DUSTIN O. HAYES, D.O., P.C. is also known by the name ECLIPSE MENTAL HEALTH SERVICES. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM0850X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Mental Health

The NPI profile was previously updated about 6 years ago on Apr 06, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DUSTIN O. HAYES, D.O., P.C. below.

NPI Profile for
DUSTIN O. HAYES, D.O., P.C.

NPI Number
1124561113
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DUSTIN O. HAYES, D.O., P.C.
Other Name: ECLIPSE MENTAL HEALTH SERVICES
Other name(s)
All associated names:
Doing Business As (dba)
Eclipse Mental Health Services
Other Name
Eclipse Mental Health Services
Primary location
817 S ELM PL
SUITE C
BROKEN ARROW, OK 74012-5369
Phone: (918) 940-4734 Fax: (918) 940-4737
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DUSTIN HAYES
PRESIDENT
Phone: (918) 940-4734
Updated
Certification Date
Apr 06, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for DUSTIN O. HAYES, D.O., P.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200678490A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0850X
- Clinic/Center / Adult Mental Health (Primary)
208D00000X
- General Practice		 OK 5382

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://www.eclipsetulsa.com/
Endpoint type
Other URL
Endpoint Description
WEBSITE CONTACT
Content Type
OTHER
Affiliation
N
Endpoint Location
817 S ELM PL,
BROKEN ARROW, OK 77025-1669