MEDICARE: DR. ERICA HAINES, PSYCHOLOGICAL SERVICES INC.

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	:	1942949144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. ERICA HAINES, PSYCHOLOGICAL SERVICES INC.

Provider Business Mailing Address
First Line	:	5951 ENCINA RD STE 200
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-6252
Country	:	US
Telephone Number	:	805-335-1565
Fax Number	:

Provider Business Practice Location Address
First Line	:	5951 ENCINA RD STE 200
Second Line	:
City	:	GOLETA
State	:	CA
Zip	:	93117-6252
Country	:	US
Telephone Number	:	805-335-1565
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CEO
Name	:	DR. ERICA HAINES
Credential	:	PSYD
Telephone Number	:	805-335-1565

Provider Enumeration Date	:	06/03/2022
Last Update Date	:	04/14/2026

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