Active NPI
Craig Michael Haen, PH.D, RDT, CGP, LCAT
- Art Therapist
- White Plains, NY
National Provider Identifier
1548598600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 000656
- Practice address
- 510 N Broadway
White Plains, NY 10603-3217 - Phone
- (917) 439-7892
- NPI assigned
- Dec 1, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | 000656 | NY | Primary |
Addresses
Primary practice location
510 N Broadway
White Plains, NY 10603-3217
Mailing address
510 N Broadway
White Plains, NY 10603-3217
Phone (917) 439-7892
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000656 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452643200000",
"number": "1548598600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 N BROADWAY",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106033217",
"telephone_number": "917-439-7892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 N BROADWAY",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106033217",
"telephone_number": "917-439-7892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAEN",
"first_name": "CRAIG",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D, RDT, CGP, LCAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-01",
"last_updated": "2016-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "NY",
"license": "000656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.