Individual provider Active NPI

Thomas William Haspel, MD

  • Psychiatry Physician
  • San Andreas, CA
National Provider Identifier
1104854843
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G79756 Issued in CA
Practice address
891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Phone
(209) 754-6525
Fax
(209) 257-2434
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G79756 CA Primary

Addresses

Primary practice location

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Mailing address

14500 Surrey Junction LN
Sutter Creek, CA 95685-9660
Phone (209) 296-5040

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
I20060905000309 CA Practitioner - Psychiatry 5496759441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of California, Davis School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of TulareGroup PAC ID 1456264555, 32 clinicians

Practice addresses (Care Compare)

520 E Tulare Ave
Visalia, CA 93292-3629
Phone (559) 623-0900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G79756CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Tulare Current Accepting new patients
County of Tulare CurrentSince Jan 11, 2022 Accepting new patients
County of Tulare CurrentSince Jan 11, 2022 Accepting new patients
County of Tulare Current Accepting new patients

Locations

1055 W Henderson Ave
Porterville, CA 93257
Phone (559) 788-1200

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

520 E Tulare Ave
Visalia, CA 93292

Organizations & group practices 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104854843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14500 SURREY JUNCTION LN",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859660",
            "telephone_number": "209-296-5040",
            "fax_number": "209-257-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 MOUNTAIN RANCH RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499713",
            "telephone_number": "209-754-6525",
            "fax_number": "209-257-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HASPEL",
        "first_name": "THOMAS",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G79756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Andreas, CA

Sources for this page

Verify at the official NPI Registry.