Haven

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

118712 Issued in AK

Legal business name

HAVEN

Practice address

626 Cordova St Ste 102
Anchorage, AK 99501-3783

Phone

(910) 399-3927

Fax

(855) 774-1303

NPI assigned

Feb 25, 2017

Organization subpart

No

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

Authorized official

Name

Dwight Howard Lysne, MD, MDIV

Title

Director

Phone

(910) 399-3927

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1487980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1154861086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7212 OYSTER LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117132",
            "telephone_number": "910-399-3927",
            "fax_number": "910-399-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CORDOVA ST STE 102",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995013783",
            "telephone_number": "910-399-3927",
            "fax_number": "855-774-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-25",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "LYSNE",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-399-3927",
        "authorized_official_credential": "MD, MDIV"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "118712",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "AK",
            "license": "118712",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AK",
            "license": "118712",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela M Haughom, PA-C
• Alicia Haugstad, FDNP, HEALTH COACH
• Christopher Joseph Haupt-Chronister, FNP-C
• Rebekah Lindeen Haussner, LPC, CDCI
• Erik K. Hauswald, MD
• Haven Alaksa Inc
• Haven Medical, LLC
• Haven Midwifery and Birth Center
• Amber Laraye Haven
• Karyn Lavon Hawes, RN

• Psychiatry Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Psychiatry Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.