Sara Haack

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

4301514583 Issued in MI

Practice address

122 S Main St Ste 240B
Ann Arbor, MI 48104-1929

Phone

(206) 657-6213

Fax

(949) 561-5371

NPI assigned

Mar 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI, AK2 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 2

Specialty

Psychiatry

Education

University of Michigan Medical School, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tanana Valley Clinic LLCGroup PAC ID 5698056901, 142 clinicians

Sound Mind Psychiatry LLCGroup PAC ID 7719380864, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fairbanks Memorial Hospital Hospital, Fairbanks, AK, CCN 020012

Merit-based Incentive Payment System (MIPS)

Final score

92.86 of 100Reported as group

Quality

94.88

Promoting interoperability

100

Improvement activities

40

Cost

79.39

Merit-based Incentive Payment System (MIPS)

Final score

84 of 100Reported as group

Quality

84.73

Promoting interoperability

89

Improvement activities

40

Cost

71.09

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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.

• Sound Mind Psychiatry LLC

  • Psychiatry Physician
  • Honolulu, HI
  • NPI 1952978074
  Medicare reassignment Care Compare group NPD Authorized official
• Tanana Valley Clinic LLC

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1922559558
  Medicare reassignment Care Compare group NPD
• Sound Mind Psychiatry PLLC

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1316819774
  NPD Authorized official
• Tanana Valley Clinic LLC

  • Multi-Specialty Clinic/Center
  • Fairbanks, AK
  • NPI 1073081485
  NPD
• Fairbanks Memorial Hospital, LLC

  • General Acute Care Hospital
  • Fairbanks, AK
  • NPI 1720537178
  NPD (past)
• Geriatric Psychiatry Services of Hawaii LLC

  • Geriatric Psychiatry Physician
  • Honolulu, HI
  • NPI 1417293200
  NPD (past)
• Lanai Community Health Center

  • Community/Retail Pharmacy
  • Lanai City, HI
  • NPI 1205413101
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fairbanks Memorial Hospital, LLC

  • General Acute Care Hospital
  • Fairbanks, AK
  • NPI 1720537178
  Care Compare affiliation

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1164798203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 JACKSON AVE # 135",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033818",
            "telephone_number": "206-657-6213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MAIN ST STE 240B",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041929",
            "telephone_number": "206-657-6213",
            "fax_number": "949-561-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAACK",
        "first_name": "SARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60485827",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301514583",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "MD-19417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164798203",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Derek James Gyori, PHARMD
• H.O.T.E.P. Christian Services Inc.
• Elliot Ha
• Jennifer Ha
• Nghi Ha, PHARMD
• Danielle Haakinson, M.D.
• Heidi J Haapala, MD
• Marcia Elizabeth Haarer, LMSW
• Miranda Rhea Haas-Stroede, DDS
• Elizabeth Marie Haas, MSW

• Psychiatry Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.