Active NPI
Christopher William Haydon, MA
- Mental Health Counselor
- Beverly, MA
National Provider Identifier
1174175988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 900 Cummings Ctr Ste 324-S
Beverly, MA 01915-6198 - Phone
- (978) 922-2280
- Fax
- (978) 927-1758
- NPI assigned
- Jul 11, 2019
- Last updated
- Jul 11, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
900 Cummings Ctr Ste 324-S
Beverly, MA 01915-6198
Mailing address
900 Cummings Ctr Ste 324-S
Beverly, MA 01915-6198
Phone (978) 927-2280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241202000514 | MA | Practitioner - Mental Health Counselor | 8820523764 | Practice locations: Waltham, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Counseling Center Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1174175988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR STE 324-S",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156198",
"telephone_number": "978-927-2280",
"fax_number": "978-927-1758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR STE 324-S",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156198",
"telephone_number": "978-922-2280",
"fax_number": "978-927-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYDON",
"first_name": "CHRISTOPHER",
"middle_name": "WILLIAM",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-11",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.