Active NPI
Christopher J Hasseltine, M.D.
- Psychiatry Physician
- Moraine, OH
National Provider Identifier
1205809001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35075689
- Practice address
- 5350 Lamme Rd
Moraine, OH 45439-3215 - Phone
- (937) 534-4620
- Fax
- (937) 522-8799
- NPI assigned
- Feb 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD426412 | PA | |
| Psychiatry Physician | 2084P0800X | K2034 | TX | |
| Psychiatry Physician | 2084P0800X | 35075689 | OH | Primary |
Addresses
Primary practice location
5350 Lamme Rd
Moraine, OH 45439-3215
Mailing address
5350 Lamme Rd
Moraine, OH 45439-3215
Phone (937) 534-4620
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101337720 | Medicaid | PA | |
| 8K5336 | Other | TX | MEDICARE PTAN |
| 092745F3F | Other | PA | MEDICARE GROUP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD426412 | PA | MD | Specialist |
| 35075689 | OH | MD | Psychiatry Physician |
| K2034 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD FL Psychiatry Services PA | Psychiatry | Current | Accepting new patients |
| Eastway Corporation | Current | Accepting new patients | |
| West Texas Centers for MHMR | Psychiatry | Past | Accepting new patients |
Locations
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
9435 Waterstone Blvd
Ste 140
Cincinnati, OH 45249
Phone (513) 613-2977
600 Wayne Ave
Dayton, OH 45410
Phone (937) 396-2525
1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dayton, OH
- NPI 1811920556
-
- Psychiatry Physician
- Big Spring, TX
- NPI 1154348514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492473600000",
"number": "1205809001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 LAMME RD",
"city": "MORAINE",
"state": "OH",
"postal_code": "454393215",
"telephone_number": "937-534-4620",
"fax_number": "937-522-8799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5350 LAMME RD",
"city": "MORAINE",
"state": "OH",
"postal_code": "454393215",
"telephone_number": "937-534-4620",
"fax_number": "937-522-8799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSELTINE",
"first_name": "CHRISTOPHER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2017-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "MD426412",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "K2034",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35075689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101337720",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "8K5336",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "092745F3F",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moraine, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.