Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mychael Shawn Haysbert

Individual provider Case Manager/Care Coordinator · NPI 1770325359

Dr. Mychael Shawn Haysbert is a Case Manager/Care Coordinator in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
3

Practice location Address checks out

425 E Santa Clara St
San Jose, CA 95113-1936
Phone: (408) 299-0462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X
Case Manager/Care Coordinator Taxonomy 171M00000X (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1770325359
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 12, 2024
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

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