Individual provider Active NPI

Eileen H Ha, M.D.

  • Psychiatry Physician
  • Anchorage, AK
National Provider Identifier
1760417208
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
5089 Issued in AK
Practice address
3260 Providence Dr
Suite 422
Anchorage, AK 99508-4615
Phone
(907) 561-0044
Fax
(907) 561-5478
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 5089 AK Primary

Addresses

Primary practice location

3260 Providence Dr
Suite 422
Anchorage, AK 99508-4615

Mailing address

PO Box 110187
Anchorage, AK 99511-0187
Phone (907) 562-1996

Other identifiers 1

IdentifierTypeStateIssuer
MD50891MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20040426001508 AK Practitioner - Psychiatry 3173510856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Washington School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Willow, LLCGroup PAC ID 5395884035, 4 clinicians

Practice addresses (Care Compare)

920 E 72ND Ave
Anchorage, AK 99518-2810
Phone (907) 222-0753

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5089AKMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
True North TMS LLC Psychiatry CurrentSince Oct 10, 2024 Accepting new patients
Willow, LLC Psychiatry CurrentSince Aug 23, 2009 Accepting new patients
Phillip W Neuberger MD LLC Past Accepting new patients
Providence Health & Services - Washington Psychiatry PastSince Oct 12, 2009 Accepting new patients

Locations

920 E 72nd Ave
Anchorage, AK 99518
Phone (907) 222-0753

Organizations & group practices 4

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760417208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110187",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995110187",
            "telephone_number": "907-562-1996",
            "fax_number": "907-562-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3260 PROVIDENCE DR",
            "address_2": "SUITE 422",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084615",
            "telephone_number": "907-561-0044",
            "fax_number": "907-561-5478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "EILEEN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AK",
            "license": "5089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD50891",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.