Individual provider Active NPI

Michael Patrick Houdart, D.O.

  • Psychiatry Physician
  • Cherry Hill, NJ
National Provider Identifier
1710171418
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
000000000000 Issued in NJ
Practice address
2250 Chapel Ave W Ste 100
Cherry Hill, NJ 08002-2051
Phone
(856) 482-9000
NPI assigned
Sep 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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 000000000000 NJ Primary

Addresses

Primary practice location

2250 Chapel Ave W Ste 100
Cherry Hill, NJ 08002-2051

Mailing address

2250 Chapel Ave W Ste 100
Cherry Hill, NJ 08002-2051
Phone (856) 482-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20090807000169 NJ Practitioner - Psychiatry 7810040904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uhs of Hampton IncGroup PAC ID 7911992912, 16 clinicians

Practice addresses (Care Compare)

650 Rancocas Rd
Westampton, NJ 08060-5613
Phone (609) 267-7000

Hospital & facility affiliations

  • Capital Health Regional Medical Center Hospital, Trenton, NJ, CCN 310092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000000000NJMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Hampton Inc CurrentSince Jul 1, 2009 Accepting new patients
Uhs of Hampton, Inc Psychiatry Current Accepting new patients
Uhs of Hampton Inc Past Accepting new patients

Locations

650 Rancocas Rd
Westampton, NJ 08060
Phone (609) 267-7000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188950400000",
    "number": "1710171418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 CHAPEL AVE W STE 100",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022051",
            "telephone_number": "856-482-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 CHAPEL AVE W STE 100",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022051",
            "telephone_number": "856-482-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUDART",
        "first_name": "MICHAEL",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "000000000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.