Individual provider Active NPI

Layth Kawther Hakim, M.D.

  • Psychiatry Physician
  • The Woodlands, TX
National Provider Identifier
1386783785
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
T3294 Issued in TX
Practice address
2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162
Phone
(844) 824-8775
Fax
(281) 648-2200
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A97056 CA
Child & Adolescent Psychiatry Physician 2084P0804X T3294 TX
Child & Adolescent Psychiatry Physician 2084P0804X A97056 CA
Psychiatry Physician 2084P0800X T3294 TX Primary

Addresses

Primary practice location

2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162

Mailing address

2103 Research Forest Dr Ste 175
The Woodlands, TX 77380-4162
Phone (844) 824-8775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100823000194 CA Practitioner - Psychiatry 9032243365 Reassigns benefits to 1 organization
I20230504001033 TX Practitioner - Psychiatry 9032243365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Southern California Keck School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Behavioral Health, PLLCGroup PAC ID 4486794906, 366 clinicians

Practice addresses (Care Compare)

2103 Research Forest Dr
Suite 175
The Woodlands, TX 77380-4162
Phone (844) 824-8775

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A97056CAMDPsychiatry Physician
T3294TXMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Barbara County County Auditor Current Accepting new patients
Progressive Behavioral Health, PLLC Psychiatry CurrentSince Apr 26, 2023 Accepting new patients

Locations

300 N San Antonio Rd
Bldg 3
Santa Barbara, CA 93110
Phone (805) 681-5440

4444 Calle Real
Santa Barbara, CA 93110
Phone (805) 681-5190

308 S Friendswood Dr
Ste 200
Friendswood, TX 77546
Phone (253) 346-0386

12505 Memorial Dr
Ste 230
Houston, TX 77024
Phone (210) 858-9078

23051 Kingwood Place Dr
Ste 110
Kingwood, TX 77339
Phone (281) 374-4500

4242 Medical Dr
Ste 6300
San Antonio, TX 78229
Phone (210) 614-8400

2103 Research Forest Dr
Ste 175
The Woodlands, TX 77380

2103 Research Forest Dr
Bldg 1
The Woodlands, TX 77380
Phone (832) 895-0347

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.laythhakim@136732.advancedmd-direct.com

Organizations & group practices 2

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1386783785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 RESEARCH FOREST DR STE 175",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804162",
            "telephone_number": "844-824-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 RESEARCH FOREST DR STE 175",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773804162",
            "telephone_number": "844-824-8775",
            "fax_number": "281-648-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKIM",
        "first_name": "LAYTH",
        "middle_name": "KAWTHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A97056",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "T3294",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A97056",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "T3294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.