MEDICARE: H.A.L.O NEW YORK LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1447119805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H.A.L.O NEW YORK LLC

Provider Business Mailing Address
First Line	:	200 BROADHOLLOW RD STE 207
Second Line	:
City	:	MELVILLE
State	:	NY
Zip	:	11747-4806
Country	:	US
Telephone Number	:	631-771-2234
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 RUSTIC GATE LN
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-6121
Country	:	US
Telephone Number	:	631-771-2234
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. HAYLEY CARRINGTON
Credential	:	PHD
Telephone Number	:	347-860-2077

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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