Individual provider Active NPI

Donald Norman Haupt, M.D.

  • Psychiatry Physician
  • Bryn Mawr, PA
National Provider Identifier
1639246325
Registry record updated Apr 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD035753-L Issued in PA
Practice address
14 Elliott Ave
Suite 4
Bryn Mawr, PA 19010-3412
Phone
(610) 520-1782
Fax
(610) 520-1783
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD035753-L PA Primary

Addresses

Primary practice location

14 Elliott Ave
Suite 4
Bryn Mawr, PA 19010-3412

Mailing address

14 Elliott Ave Ste 4
Suite 4
Bryn Mawr, PA 19010-3412
Phone (610) 520-1782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100823000976 PA Practitioner - Psychiatry 5890819189 Practice locations: Bryn Mawr, PA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Pennsylvania State University College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 Elliot Ave
Bryn Mawr, PA 19010-3412
Phone (610) 520-1782

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD035753-LPAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272499200000",
    "number": "1639246325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 ELLIOTT AVE STE 4",
            "address_2": "SUITE 4",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103412",
            "telephone_number": "610-520-1782",
            "fax_number": "610-520-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ELLIOTT AVE",
            "address_2": "SUITE 4",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103412",
            "telephone_number": "610-520-1782",
            "fax_number": "610-520-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPT",
        "first_name": "DONALD",
        "middle_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2010-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD035753-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.