Active NPI
Andrew T. Haber, M.D.
- Child & Adolescent Psychiatry Physician
- Scottsdale, AZ
National Provider Identifier
1306016258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 44753
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44753 | Other | AZ | AZ 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
| License | State | Type | Specialty |
|---|---|---|---|
| 44753 | AZ | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew T. Haber, M.D., L.L.C. | Current | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Scottsdale, AZ
- NPI 1639969991
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.