Haven Medical Group, LLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

HAVEN MEDICAL GROUP, LLC

Practice address

86 Baker Avenue Ext
Concord, MA 01742-2132

Phone

(978) 391-9275

NPI assigned

Jun 19, 2015

Last updated

Jan 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sanjay Basu, MD

Title

Ceo

Phone

(617) 646-9912

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1710369368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BAKER AVENUE EXT",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422132",
            "telephone_number": "978-391-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BAKER AVENUE EXT",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017422132",
            "telephone_number": "978-391-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "BASU",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-646-9912",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Hardiman, LMHC
• Deborah Hardy, LICSW
• Kevin Harrington, DC
• Sydney M Harris, PSYD
• Eric Hatton, MD
• Monalisa Hawes
• Jennifer Healy
• Kerry Kristen Healy, LMHC
• Heart Associates of Concord, LLP
• Hedmed, LLC (Passport Health)

• Addiction Medicine (Internal Medicine) Physician in Concord, MA
• Providers in Concord, MA by specialty
• Addiction Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; 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.