Havenlight PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HAVENLIGHT PLLC

Practice address

7160 E Kierland Blvd
Ste 213
Scottsdale, AZ 85254-2987

Phone

(623) 396-5623

NPI assigned

Apr 13, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Benjamin Reeser, MDNPI 1285071381

Title

Medical Director

Phone

(623) 396-5623

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Havenlight Health Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/27234/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Benjamin Lee Reeser, M.D.

  • Family Medicine Physician
  • Scottsdale, AZ
  • NPI 1285071381

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1618272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682467200000",
    "number": "1568042513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 W RIORDAN RD STE 100-132",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860010842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 E KIERLAND BLVD",
            "address_2": "STE 213",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542987",
            "telephone_number": "623-396-5623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENLIGHT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-13",
        "last_updated": "2023-04-26",
        "certification_date": "2023-04-26",
        "status": "A",
        "authorized_official_last_name": "REESER",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "623-396-5623",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z257365",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havenlight Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Havenlight Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alfhonso Tracey Havatone, LCSW-11476
• Haven Hands Care LLC
• Haven Home Physicians LLC
• Haven Home Physicians, PC
• Haven of Scottsdale, LLC
• Cara Havens, LAMFT
• Kathryn Havens, MSN, FNP-BC
• Rachael Haverland, M.D.
• Hawaii Urgent Care Provider Network, LLC
• Deborah Ann Hawanczak-Carver

• Family Medicine Physician in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2023; 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.