Active NPI
Louis Hafken, MD
- Psychiatry Physician
- Delray Beach, FL
National Provider Identifier
1366544439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME77043
- Practice address
- 16158 S Military TRL
South County Mental Health Center
Delray Beach, FL 33484-6502 - Phone
- (561) 495-0522
- NPI assigned
- Sep 1, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD04782 | RI | |
| Psychiatry Physician | 2084P0800X | 52161 | MA | |
| Psychiatry Physician | 2084P0800X | ME77043 | FL | Primary |
Addresses
Primary practice location
16158 S Military TRL
South County Mental Health Center
Delray Beach, FL 33484-6502
Mailing address
3934 Sherwood Blvd
Delray Beach, FL 33445-5655
Phone (561) 445-9361
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7057829 | Medicaid | RI | |
| 295422 | Other | RI | BLUE CROSS BLUE SHIELD |
| 1528859 | Other | RI | UNITED BEHAVIORAL HEALTH |
| 003054 | Other | RI | BLUE CHIP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52161 | MA | MD | Psychiatry Physician |
| MD04782 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Center Inc | Past | Accepting new patients | |
| St. Joseph Health Services of Rhode Island | Psychiatry | Past | Accepting new patients |
| St. Joseph Health Services of Rhode Island | Past | Accepting new patients | |
| Rhode Island Hospital | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Providence, RI
- NPI 1972768174
-
- Group Psychotherapy Psychologist
- Charlestown, RI
- NPI 1255327391
-
- Psychiatry Physician
- North Providence, RI
- NPI 1326122557
-
- General Acute Care Hospital
- Providence, RI
- NPI 1356478002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366848000000",
"number": "1366544439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3934 SHERWOOD BLVD",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334455655",
"telephone_number": "561-445-9361",
"fax_number": "561-499-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16158 S MILITARY TRL",
"address_2": "SOUTH COUNTY MENTAL HEALTH CENTER",
"city": "DELRAY BEACH",
"state": "FL",
"postal_code": "334846502",
"telephone_number": "561-495-0522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFKEN",
"first_name": "LOUIS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2013-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "RI",
"license": "MD04782",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "52161",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME77043",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7057829",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "295422",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "1528859",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "003054",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Delray Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.