Individual provider Active NPI

Louis Hafken, MD

  • Psychiatry Physician
  • Delray Beach, FL
National Provider Identifier
1366544439
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME77043 Issued in FL
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

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7057829MedicaidRI
295422OtherRIBLUE CROSS BLUE SHIELD
1528859OtherRIUNITED BEHAVIORAL HEALTH
003054OtherRIBLUE 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

LicenseStateTypeSpecialty
52161MAMDPsychiatry Physician
MD04782RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.