Organization Active NPI

Harvey Haack

  • Community/Behavioral Health Agency
  • Lancaster, PA
National Provider Identifier
1821120619
Registry record updated Oct 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
367079 Issued in PA
Legal business name
HARVEY HAACK
Doing business as
Mission New Life
Practice address
39 W Vine St
Lancaster, PA 17603-3946
Phone
(717) 394-5495
Fax
(717) 533-6071
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2007

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

Authorized official

Name
Harvey Haack, LPC, LMFT, CACD
Title
Project Director
Phone
(717) 329-4178

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 367079 PA Primary

Addresses

Primary practice location

39 W Vine St
Lancaster, PA 17603-3946

Mailing address

39 W Vine St
Lancaster, PA 17603-3946
Phone (717) 394-5495

Other names 1

  • Mission New Life Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191628800000",
    "number": "1821120619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 W VINE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033946",
            "telephone_number": "717-394-5495",
            "fax_number": "717-533-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 W VINE ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033946",
            "telephone_number": "717-394-5495",
            "fax_number": "717-533-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARVEY HAACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-10-06",
        "status": "A",
        "authorized_official_last_name": "HAACK",
        "authorized_official_first_name": "HARVEY",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "717-329-4178",
        "authorized_official_credential": "LPC, LMFT, CACD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "367079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission New Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2007; 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.