Individual provider Active NPI

Jennifer Ha

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1093008666
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
67423-20 Issued in WI
Practice address
2675 N Mayfair Rd Ste 400
Milwaukee, WI 53226-1305
Phone
(414) 763-6910
NPI assigned
May 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 67423-20 WI Primary

Addresses

Primary practice location

2675 N Mayfair Rd Ste 400
Milwaukee, WI 53226-1305

Mailing address

2675 N Mayfair Rd Ste 400
Milwaukee, WI 53226-1305

Other practice location 1

11100 Euclid Avenue
University Hospitals Case Medical Center
Cleveland, OH 44106
Phone (216) 844-6046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20210824003470 WI Practitioner - Psychiatry 5092078758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Toledo College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Frontiers Psychiatric SCGroup PAC ID 7416201058, 9 clinicians

Practice addresses (Care Compare)

2675 N Mayfair Rd
Suite 400
Milwaukee, WI 53226-1305
Phone (414) 763-6910

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Frontiers Psychiatric SC Psychiatry CurrentSince Sep 1, 2021 Accepting new patients
New Frontiers TMS LLC Psychiatry CurrentSince Aug 28, 2021 Accepting new patients

Locations

2675 N Mayfair Rd
Ste 400
Milwaukee, WI 53226
Phone (414) 350-2449

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1093008666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N MAYFAIR RD STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N MAYFAIR RD STE 400",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261305",
            "telephone_number": "414-763-6910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Avenue",
            "address_2": "University Hospitals Case Medical Center",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44106",
            "country_code": "US",
            "telephone_number": "216-844-6046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HA",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "67423-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.