Lydia Haren, M.D.

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

20542 Issued in SC

Practice address

2900 Evatt LN
Suite 106
Charleston, SC 29405-8700

Phone

(843) 745-5153

NPI assigned

Sep 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, SC2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Palmetto Behavioral Health Solutions, LLC

  • Mental Health Counselor
  • Charleston, SC
  • NPI 1104885516
  Medicare reassignment NPD
• State of Tennessee

  dba Marion County Health Department

  • Public Health or Welfare Agency
  • Jasper, TN
  • NPI 1487791315
  Medicare reassignment NPD
• State of Tennessee

  dba Robertson County Health Department

  • Public Health or Welfare Agency
  • Springfield, TN
  • NPI 1316090145
  NPD
• State of Tennessee State F & a Payroll

  dba Moccasin Bend Mental Health Institute

  • Psychiatric Hospital Unit
  • Chattanooga, TN
  • NPI 1306818265
  NPD

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588766844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 EVATT LN",
            "address_2": "SUITE 106",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058700",
            "telephone_number": "843-745-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 EVATT LN",
            "address_2": "SUITE 106",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294058700",
            "telephone_number": "843-745-5153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAREN",
        "first_name": "LYDIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "SC",
            "license": "20542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205423",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor Grace Hardy, MSPAS, PA-C
• Kris Thomas Hardy Jr., M.D.
• Rayphael Sebastian Hardy, MD
• Amanda Elizabeth Hare, ARNP
• Laura Applebaum Hare, LPC
• Emily Rose Hargous, DO
• Susan Harwood Hargrave, REGISTERED NURSE
• Tanya Coyle Hargrove, LPC
• Harken Health
• Chad Harle, PHARMD

• Addiction (Substance Use Disorder) Psychologist in Charleston, SC
• Providers in Charleston, SC by specialty
• Addiction (Substance Use Disorder) Psychologist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.