NPIMap

Organization Active NPI

Haven Ministries, Inc.

  • Psychiatry Physician
  • Wilmington, NC
National Provider Identifier
1649720889
Registry record updated Oct 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200301378 Issued in NC
Legal business name
HAVEN MINISTRIES, INC.
Practice address
7212 Oyster LN
Wilmington, NC 28411-7132
Phone
(910) 465-1935
Fax
(910) 399-3928
NPI assigned
Oct 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2016

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

Authorized official

Name
Dwight Howard Lysne, MD, MDIVNPI 1083679062
Title
Director
Phone
(910) 399-3927

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 200301378 NC Primary

Addresses

Primary practice location

7212 Oyster LN
Wilmington, NC 28411-7132

Mailing address

20 S 16TH St
Wilmington, NC 28401-4924
Phone (910) 399-3927

National Provider Directory

National Provider Directory
Tax ID family
Haven Ministries Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1476230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476230400000",
    "number": "1649720889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 S 16TH ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284014924",
            "telephone_number": "910-399-3927",
            "fax_number": "910-399-3928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7212 OYSTER LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284117132",
            "telephone_number": "910-465-1935",
            "fax_number": "910-399-3928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN MINISTRIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-12",
        "last_updated": "2016-10-12",
        "status": "A",
        "authorized_official_last_name": "LYSNE",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-399-3927",
        "authorized_official_credential": "MD, MDIV"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200301378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.

Verify at the official NPI Registry.