Active NPI
Mark D Haffey, EDD
- Psychologist
- Amherst, MA
National Provider Identifier
1184724106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4415
- Practice address
- 433 West St
Suite 5
Amherst, MA 01002-2936 - Phone
- (413) 259-1654
- Fax
- (413) 256-6476
- NPI assigned
- Sep 22, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4415 | MA | Primary |
Addresses
Primary practice location
433 West St
Suite 5
Amherst, MA 01002-2936
Mailing address
433 West St
Suite 5
Amherst, MA 01002-2936
Phone (413) 259-1654
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| W04532 | Other | MA | BC/BS PROVIDER ID # |
| 2034136 | Other | MA | CIGNA HP PROVIDER ID # |
| 339070 | Other | MA | MAGELLAN PROVIDER ID # |
| 004415 | Other | MA | TUFTS HEALTH PLAN |
| 042945394 | Other | MA | UBH PROVIDER ID # |
| 24262 | Other | MA | HEALTH NEW ENGLAND PROVID |
| 4415 | Other | MA | LICD PSYCHOLOGIST PROVIDE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 14, 2023 through Feb 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haffey Center for Attention & Memory | Psychologist | 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 and National Provider Directory roles.
-
- Psychologist
- Amherst, MA
- NPI 1073884565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219363200000",
"number": "1184724106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 WEST ST",
"address_2": "SUITE 5",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022936",
"telephone_number": "413-259-1654",
"fax_number": "413-256-6476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 WEST ST",
"address_2": "SUITE 5",
"city": "AMHERST",
"state": "MA",
"postal_code": "010022936",
"telephone_number": "413-259-1654",
"fax_number": "413-256-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFFEY",
"first_name": "MARK",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "EDD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2008-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "4415",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER ID #",
"identifier": "W04532",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HP PROVIDER ID #",
"identifier": "2034136",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PROVIDER ID #",
"identifier": "339070",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "004415",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH PROVIDER ID #",
"identifier": "042945394",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND PROVID",
"identifier": "24262",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICD PSYCHOLOGIST PROVIDE",
"identifier": "4415",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.