DR. THOMAS JAMES HALEY PH.D.
NPI 1043285554
Psychologist in Omaha, NE

NPI Status: Active since February 19, 2006

Contact Information

12728 AUGUSTA AVE
OMAHA, NE
ZIP 68144
Phone: (402) 330-1537
Fax: (402) 330-9331

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  • Individual
  • Male
  • Years of Experience 39
  • Psychologist
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled

About THOMAS HALEY

This page provides the complete NPI Profile along with additional information for Thomas Haley, a provider established in Omaha, Nebraska with a medical specialization in Psychologist and more than 39 years of experience. The healthcare provider is registered in the NPI registry with number 1043285554 assigned on February 2006. The practitioner's primary taxonomy code is 103T00000X with license number 380 (NE). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1043285554
Provider Name
DR. THOMAS JAMES HALEY PH.D.
Gender
Male
Entity Type
Individual
Location Address
12728 AUGUSTA AVE OMAHA, NE 68144
Location Phone
(402) 330-1537
Location Fax
(402) 330-9331
Mailing Address
12728 AUGUSTA AVE OMAHA, NE 68144
Mailing Phone
(402) 330-1537
Mailing Fax
(402) 330-9331
Medical School Name
OTHER
Graduation Year
1987
Is Sole Proprietor?
Yes
Enumeration Date
02-19-2006
Last Update Date
08-22-2023
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A psychologist like Thomas Haley studies cognitive, emotional, social processes and behavior by observing, interpreting, and recording how people relate to one another and to their environments. Psychologists gather information and evaluate behavior through controlled laboratory experiments, psychoanalysis, psychotherapy or through personality, performance, aptitude, or intelligence tests, and use this information when testing theories in their research or when treating patients.

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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

Psychologist

Taxonomy Code
103T00000X
Type
Behavioral Health & Social Service Providers
License No.
380
License State
NE
Taxonomy Description
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Clear Silver - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Silver - HMO
  • Elite Silver + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue - EPO
  • HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue - EPO
  • HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue - EPO
  • HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO - PPO
  • HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice - EPO
  • HeartlandBlue Gold $0 Deductible NEtwork Blue - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Thomas Haley is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Thomas Haley is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8527020981

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120309000637

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Psychotherapy, 45 minutes

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

This service was performed 144 times for 15 patients

Reviews for DR. THOMAS JAMES HALEY PH.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043285554
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20834810510
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 4 + 8 + 1 + 0 + 5 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1043285554 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275608424DR. PHILIP E. STREVEY D.D.S., F.A.G.D.
Individual
Dentist (General Practice)12728 AUGUSTA AVE #110
OMAHA, NE 68144
(402) 330-1483
1851508956PSYCHOLOGICAL & COUNSELING SERVICES, P.C.
Organization
Counselor (Mental Health)12728 AUGUSTA AVE SUITE 150
OMAHA, NE 68144
(402) 330-1537
1982885968EVANS PSYCHOLOGICAL
Organization
Psychologist (Clinical)12728 AUGUSTA AVE STE 150
OMAHA, NE 68144
(402) 330-1537
1427090034 PEGGY JOLI REYNOLDS HALL L.C.S.W.
Individual
Social Worker (Clinical)12728 AUGUSTA AVE
OMAHA, NE 68144
(402) 330-1537
1841690062SEAN HALEY LLC
Organization
Counselor (Mental Health)12728 AUGUSTA AVE
OMAHA, NE 68144
(402) 330-1537
1619217916MR. RYAN THOMAS EVANS MS, LMHP, PLADC
Individual
Counselor (Mental Health)12728 AUGUSTA AVE
OMAHA, NE 68144
(402) 330-1537
1093196909 KERI E DILLON APRN, FNP-C
Individual
Nurse Practitioner (Primary Care)12728 AUGUSTA AVE
OMAHA, NE 68144
(402) 330-1410
1609090703 JAMES E KLEVETER LIMHP
Individual
Counselor (Mental Health)12728 AUGUSTA AVE STE. 150
OMAHA, NE 68144
(402) 330-1537
1710941398MRS. MARLEEN ELIZABETH EVANS LPC LIMHP MA
Individual
Counselor (Mental Health)12728 AUGUSTA AVE STE 150
OMAHA, NE 68144
(402) 330-1537
1649230426PRIMARY CARE PHYSICIANS, LLP
Organization
General Practice12728 AUGUSTA AVE
OMAHA, NE 68144
(402) 330-1410

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043285554, enumerated in the NPI registry as an "individual" on February 19, 2006

The provider is located at 12728 Augusta Ave Omaha, Ne 68144 and the phone number is (402) 330-1537

The provider's speciality is Psychologist with taxonomy code 103T00000X

The provider has more than 39 years of experience.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

The most common procedures or services performed by this practitioner are: Psychotherapy, 45 minutes.

This NPI record was last updated on February 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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