PHILIP C. HAINES M.D. NPI 1679633994

NPI Information

NPI: 1679633994
Provider Name: PHILIP C. HAINES, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
1011 PARCHMENT DR SE
GRAND RAPIDS, MI
ZIP 49546
Phone: (616) 957-2200
Get Directions

Philip C. Haines, M.D. is a child and adolescent psychiatry psychiatry neurology in Grand Rapids, MI with 51 years of experience. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Philip C. Haines, M.D. NPI is 1679633994. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduation Year:1973

The provider's business location address is:

1011 PARCHMENT DR SE
GRAND RAPIDS, MI
ZIP 49546-664
Phone: (616) 957-2200
Fax: (616) 957-4274

The NPI 1679633994 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 7/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0800X	Psychiatry & Neurology	Psychiatry	4301033971	MICHIGAN	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	4301033971	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B45242	MEDICARE UPIN
2	0410081	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
3	103028918	MEDICAID	MICHIGAN
4	383145416	OTHER		TAX I.D. NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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