Active NPI
Mary A Haering, D.O.
- Psychiatry Physician
- Lansing, MI
National Provider Identifier
1659341402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 5315015745
- Practice address
- 3475 Bell Chase Way
Lansing, MI 48911 - Phone
- (517) 882-3732
- Fax
- (517) 882-3633
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 5315015745 | MI | Primary |
Addresses
Primary practice location
3475 Bell Chase Way
Lansing, MI 48911
Mailing address
3475 Belle Chase Way
Lansing, MI 48911
Phone (517) 882-3732
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 595840000 | Other | MI | MAGELLAN PROVIDER |
| 2653310225 | Other | MI | BCBS OF MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5315015745 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Psychiatric Consultants, PC | Psychiatry | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.maryhaering@150339.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412640000000",
"number": "1659341402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3475 BELLE CHASE WAY",
"city": "LANSING",
"state": "MI",
"postal_code": "48911",
"telephone_number": "517-882-3732",
"fax_number": "517-882-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 BELL CHASE WAY",
"city": "LANSING",
"state": "MI",
"postal_code": "48911",
"telephone_number": "517-882-3732",
"fax_number": "517-882-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAERING",
"first_name": "MARY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-25",
"last_updated": "2014-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "5315015745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN PROVIDER",
"identifier": "595840000",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MI",
"identifier": "2653310225",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.