David Charles Haas, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

E-0446 Issued in AR

Practice address

2001 Club Manor Dr
Suite J
Maumelle, AR 72113-7411

Phone

(501) 687-0488

Fax

(501) 687-0489

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/lhsoutheast/r4/

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.

• Living Hope Southeast, LLC

  • Mental Health Counselor
  • Monticello, AR
  • NPI 1689877862
  Medicare reassignment NPD
• Integrative Medical Center of Arkansas PA

  • Primary Care Clinic/Center
  • Maumelle, AR
  • NPI 1134595234
  NPD Authorized official
• Living Hope Institute

  • Social Worker
  • Little Rock, AR
  • NPI 1821103334
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1518924471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR",
            "address_2": "SUITE J",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137411",
            "telephone_number": "501-687-0488",
            "fax_number": "501-687-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 CLUB MANOR DR",
            "address_2": "SUITE J",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "721137411",
            "telephone_number": "501-687-0488",
            "fax_number": "501-687-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAS",
        "first_name": "DAVID",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AR",
            "license": "E-0446",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AR",
            "license": "E-0446",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126913001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUAL CHOICE",
            "identifier": "15755000000",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "139724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5J640",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004280953",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "0574890000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NETWORK",
            "identifier": "041251",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "07685",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Goals Ces Services, Inc
• Stacy Graham
• Gwendolyn'S Home Care Inc.
• Haas Psychiatric Services, P.a.
• Haas Psychiatric Services, PA
• Madison Hailey I, DR
• John Halloran, M.S., CCC - SLP
• Jennifer Hammond, PHARM D
• Shiela M Hardin, MA, CCC-SLP-L
• Thomas Stuart Harris, M.D.

• Psychiatry Physician in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.