Individual provider Active NPI

Mina Hah, M.D.

  • Child & Adolescent Psychiatry Physician
  • Davis, CA
National Provider Identifier
1083931869
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A82972 Issued in CA
Practice address
2056 Lyndell Ter Ste 130
Davis, CA 95616-6209
Phone
(530) 924-4038
NPI assigned
May 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X A82972 CA Primary
Psychiatry Physician 2084P0800X A82972 CA

Addresses

Primary practice location

2056 Lyndell Ter Ste 130
Davis, CA 95616-6209

Mailing address

2056 Lyndell Ter Ste 130
Davis, CA 95616-6209
Phone (530) 924-4038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20120601000198 CA Practitioner - Psychiatry 8224291216 Reassigns benefits to 1 organization
Practice locations: Davis, CA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2043 Anderson Rd
Suite D
Davis, CA 95616-0676
Phone (530) 918-4093

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gerner Chiropractic Inc CurrentSince May 18, 2023 Accepting new patients
Synapse Association CurrentSince Apr 3, 2016 Accepting new patients

Locations

2043 Anderson Rd
Ste D
Davis, CA 95616
Phone (530) 297-5683

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1083931869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056 LYNDELL TER STE 130",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166209",
            "telephone_number": "530-924-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056 LYNDELL TER STE 130",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956166209",
            "telephone_number": "530-924-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAH",
        "first_name": "MINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-03",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A82972",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A82972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davis, CA

Sources for this page

Verify at the official NPI Registry.