Provider Demographics
NPI:1073307716
Name:HAYAT, ARIEL (APCC)
Entity type:Individual
Prefix:
First Name:ARIEL
Middle Name:
Last Name:HAYAT
Suffix:
Gender:
Credentials:APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:241 SHELTER COVE DR
Mailing Address - Street 2:
Mailing Address - City:HALF MOON BAY
Mailing Address - State:CA
Mailing Address - Zip Code:94019-4228
Mailing Address - Country:US
Mailing Address - Phone:310-570-6520
Mailing Address - Fax:
Practice Address - Street 1:200 SAN MARLO WAY STE 4
Practice Address - Street 2:
Practice Address - City:PACIFICA
Practice Address - State:CA
Practice Address - Zip Code:94044-3274
Practice Address - Country:US
Practice Address - Phone:650-402-0333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17477101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health