Individual provider Active NPI

Deirdre Allison Habermehl, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Huntington Beach, CA
National Provider Identifier
1023065570
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
G60299 Issued in CA
Practice address
18800 Main St
Ste 204
Huntington Beach, CA 92648-1707
Phone
(949) 548-6376
Fax
(866) 677-2855
NPI assigned
May 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X G60299 CA
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X G60299 CA Primary

Addresses

Primary practice location

18800 Main St
Ste 204
Huntington Beach, CA 92648-1707

Mailing address

18800 Main St
Ste 204
Huntington Beach, CA 92648-1707
Phone (949) 548-6376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WI, HI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220503002557 CA Practitioner - Obstetrics/GynecologyPractitioner - Addiction Medicine 9739146820 Reassigns benefits to 2 organizations
I20230615000804 WI Practitioner - Physical Medicine and Rehabilitation 9739146820 Reassigns benefits to 1 organization
I20231017001174 HI Practitioner - Obstetrics/GynecologyPractitioner - Preventive Medicine 9739146820 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rita R Ellithorpe MD, Inc CurrentSince Apr 18, 2022 Accepting new patients
Signify Health, LLC CurrentSince Sep 1, 2023 Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Apr 1, 2023 Accepting new patients
Addiction Research and Treatment, Inc. CurrentSince Sep 3, 2024 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 6, 2023 Accepting new patients
Deirdre a. Habermehl, M.D., Inc. Obstetrics & Gynecology Past Accepting new patients
Til LP Past Accepting new patients

Locations

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

13422 Newport Ave
Ste L
Tustin, CA 92780
Phone (714) 544-1521

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 600
Dallas, TX 75244

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

Interoperability endpoints

  • Direct secure messaging: deirdre.habermehl.p1@direct.cscla.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487635200000",
    "number": "1023065570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "949-548-6376",
            "fax_number": "866-677-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18800 MAIN ST",
            "address_2": "STE 204",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481707",
            "telephone_number": "949-548-6376",
            "fax_number": "866-677-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERMEHL",
        "first_name": "DEIRDRE",
        "middle_name": "ALLISON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2017-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G60299",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "G60299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.