Nina M Haase

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

013171 Issued in NY

Practice address

30 Grandview Ave
Cornwall on Hudson, NY 12520-1214

Phone

(845) 568-7680

NPI assigned

Nov 4, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1437450699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GRANDVIEW AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201214",
            "telephone_number": "845-568-7680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GRANDVIEW AVE",
            "city": "CORNWALL ON HUDSON",
            "state": "NY",
            "postal_code": "125201214",
            "telephone_number": "845-568-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "NINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "013171",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NJ",
            "license": "00434200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan R Gavin, RN
• Emily Kristine Geers, DPT, PT
• Susan Mae Glendening, LCSW
• Pamela Glynn, R.N.
• Jonathan Goodson, JONATHAN GOODSON
• Cheryl Harewood-Kiai, LMT
• Glynis Herrmann
• Kathryn Hunter, LCSW
• Michael C Jordhamo, DPT
• Dawn Elizabeth Kelleher, L.P.N.

• Pediatric Occupational Therapist in Cornwall on Hudson, NY
• Providers in Cornwall on Hudson, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; 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.