Individual provider Active NPI

Bernard Hade, MD

  • Psychiatry Physician
  • Caribou, ME
National Provider Identifier
1306914536
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
013280 Issued in ME
Practice address
7 Hatch Drive
Suite 110
Caribou, ME 04736
Phone
(207) 492-1045
Fax
(207) 492-1046
NPI assigned
Dec 4, 2006
Last updated
Nov 14, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 013280 ME Primary

Addresses

Primary practice location

7 Hatch Drive
Suite 110
Caribou, ME 04736

Mailing address

7 Hatch Drive
Suite 110
Caribou, ME 04736
Phone (207) 492-1045

Other identifiers 1

IdentifierTypeStateIssuer
133550099MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040804000823 ME Practitioner - Psychiatry 6901877828 Practice locations: Caribou, ME

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7 Hatch Dr
Suite 245
Caribou, ME 04736-2284
Phone (207) 492-1045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
013280MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bernard Hade Psychiatry PastSince Mar 22, 2004 Accepting new patients
Life by Design, PA PastSince Feb 1, 2004 Accepting new patients
Carlos G. Otis Health Care Center Inc. Past Accepting new patients

Organizations & group practices 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1306914536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HATCH DRIVE",
            "address_2": "SUITE 110",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "04736",
            "telephone_number": "207-492-1045",
            "fax_number": "207-492-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HATCH DRIVE",
            "address_2": "SUITE 110",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "04736",
            "telephone_number": "207-492-1045",
            "fax_number": "207-492-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HADE",
        "first_name": "BERNARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "013280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133550099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.