Daniel Martin Haycraft, M.D.
Individual provider Active NPI Psychiatry Physician · Calistoga, CA
NPI 1609938893 · NPPES record last updated Aug 3, 2022
Key facts
- NPI
- 1609938893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- C56075 (CA)
- Practice address
- 913 Washington St
Calistoga, CA 94515-1433 - Phone
- (707) 942-0844
- Fax
- (707) 942-6382
- NPI assigned
- Dec 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C56075 | CA | MD | Psychiatry Physician |
| 36-101144 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Humboldt | Current | Accepting new patients | |
| County of Humboldt | Current |
Accepting new patients | |
| County of Humboldt | Current |
Accepting new patients |
Locations
720 Wood St
Eureka, CA 95501
Phone (707) 268-2900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36-101144 | IL | |
| Psychiatry Physician | 2084P0800X | C56075 | CA | Yes |
Addresses
Primary practice location
913 Washington St
Calistoga, CA 94515-1433
Mailing address
913 Washington St
Calistoga, CA 94515-1433
Phone (707) 942-6233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C56075 | Other | CA | CALIFORNIA MEDICAL LICENSE |
| 01627888 | Other | IL | BLUE CROSS |
| 036101144 | Medicaid | IL | |
| 036-101144 | Other | IL | ILLINOIS MEDICAL LICENSE |
Other providers in Calistoga, CA
- G.S. Calistoga, Inc.
- Yulisa Garcia Diaz
- Josiah Jacob Gonzales
- Richard Alan Gray
- Jon Green
- Gustavo Gavino Herrera Ortega Jr.
- Gina Hitchcock
- Richard G. Holston
- Charles Hudson
- Jodie Ann Hunt
All providers in Calistoga, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.