Individual provider Active NPI

Lamar P Habern, MS, LLP, CCCBT, CBIS

  • Psychologist
  • Ypsilanti, MI
National Provider Identifier
1801548128
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6361002193 Issued in MI
Practice address
5570 Whittaker Rd
Ypsilanti, MI 48197-9752
Phone
(734) 417-1739
NPI assigned
Jan 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6361002193 MI Primary

Addresses

Primary practice location

5570 Whittaker Rd
Ypsilanti, MI 48197-9752

Mailing address

271 Henry St Apt 104
Belleville, MI 48111-2962
Phone (734) 678-0249

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620000213 MI Practitioner - Clinical Psychologist 2668983867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2149 Jolly Rd
Suite 500
Okemos, MI 48864-6028
Phone (517) 347-4645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

915 Airport Rd
Ste 8
Jackson, MI 49202
Phone (517) 745-8682

209 E Washington Ave
Ste 205
Jackson, MI 49201
Phone (517) 648-2416

2149 Jolly Rd
Ste 500
Okemos, MI 48864
Phone 5173474645102

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": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1801548128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "271 HENRY ST APT 104",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112962",
            "telephone_number": "734-678-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5570 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979752",
            "telephone_number": "734-417-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABERN",
        "first_name": "LAMAR",
        "middle_name": "P",
        "credential": "MS, LLP, CCCBT, CBIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6361002193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.