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Active NPI 1386998722 Individual Practitioner Male Practitioner

William Tawheed Haynes , PEER SPECIALIST

Peer Specialist • Riverside, CA

Professional Overview & Biography Verified Profile Summary

William Haynes, PEER SPECIALIST is a registered healthcare professional specializing in Peer Specialist in Riverside, CA. Practice services are available at 2085 RUSTIN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2085 Rustin Ave

Riverside, CA 925072498

Telephone 9519559375
Associated Practice Facility / Clinic
🏢 County Of Riverside Facility NPI 1902971328

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
387 Specialists

Practicing in Riverside, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-17
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-EHKLBZ

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Practice Locations

3125 Myers St

Riverside, CA 925035527

Phone: 9513583725

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Candice Bowman

Peer Specialist

NPI 1184136012
Jose Mendivil

Peer Specialist

NPI 1417785825
Florentina Ellis

Peer Specialist

NPI 1942044912

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2026

Peer Specialist (License #MPSS-EHKLBZ in CA)

📍
Updated Practice Location December 13, 2022

Registered at 2085 RUSTIN AVE, RIVERSIDE, CA 925072498 (Tel: 9519559375)

👤
Provider Name / Credentials Updated December 13, 2022

Recorded as WILLIAM HAYNES, PEER SPECIALIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2022

Peer Specialist

✅
NPI Profile Active October 27, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2016

Registered at 3125 MYERS ST, RIVERSIDE, CA 925035527 (Tel: 9513583725)

📍
Updated Business Mailing Address October 27, 2016

Registered at 3125 MYERS ST, RIVERSIDE, CA 925035527 (Tel: 9513583725)

👤
Provider Name / Credentials Updated October 27, 2016

Recorded as WILLIAM HAYNES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2016

Counselor

🟢
Initial NPI Registration & Enumeration November 07, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1386998722
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2012
Last Update: April 17, 2026
Sole Proprietor: No
Update or Correct Profile

Mailing Address

3125 Myers St

Riverside, CA 925035527

Phone: 9513583725

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.