Individual provider Active NPI

Andrew T. Haber, M.D.

  • Child & Adolescent Psychiatry Physician
  • Scottsdale, AZ
National Provider Identifier
1306016258
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
44753 Issued in AZ
Practice address
11111 N Scottsdale Rd Ste 240
Scottsdale, AZ 85254-6737
Phone
(602) 463-7406
Fax
(866) 282-3513
NPI assigned
Mar 6, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 44753 AZ Primary

Addresses

Primary practice location

11111 N Scottsdale Rd Ste 240
Scottsdale, AZ 85254-6737

Mailing address

5930 E Stella LN
Paradise Valley, AZ 85253-4276
Phone (602) 463-7406

Other identifiers 1

IdentifierTypeStateIssuer
44753OtherAZAZ MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 23, 2025 through Jul 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44753AZMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew T. Haber, M.D., L.L.C. CurrentSince May 11, 2025 Accepting new patients

Locations

11111 N Scottsdale Rd
Ste 240
Scottsdale, AZ 85254
Phone (480) 922-3009

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.

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1306016258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 E STELLA LN",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852534276",
            "telephone_number": "602-463-7406",
            "fax_number": "866-282-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 N SCOTTSDALE RD STE 240",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546737",
            "telephone_number": "602-463-7406",
            "fax_number": "866-282-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "ANDREW",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-06",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "44753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ MEDICAL BOARD",
            "identifier": "44753",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.