Individual provider Active NPI

Sean Young-Il Haugh, M.D.

  • Child & Adolescent Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1821167206
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
A65107 Issued in CA
Practice address
1570 The Alameda
Ste 228
San Jose, CA 95126-2305
Phone
(408) 293-3971
Fax
(408) 293-1029
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A65107 CA
Child & Adolescent Psychiatry Physician 2084P0804X A65107 CA Primary

Addresses

Primary practice location

1570 The Alameda
Ste 228
San Jose, CA 95126-2305

Mailing address

1570 The Alameda
Ste 228
San Jose, CA 95126-2305
Phone (408) 293-3971

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20090724000065 CA Practitioner - Psychiatry 1658423546 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Pennsylvania State University College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alameda Health SystemGroup PAC ID 3779494521, 597 clinicians

Practice addresses (Care Compare)

2060 Fairmont Dr
Castro Valley, CA 94578-1001
Phone (510) 346-7500

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
86.93
Promoting interoperability
100
Improvement activities
40
Cost
72.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A65107CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health System CurrentSince Sep 30, 2020 Accepting new patients
Alameda Health System Current Accepting new patients
County of Santa Clara Child & Adolescent Psychiatry CurrentSince Aug 6, 2014 Accepting new patients
County of Santa Clara Current Accepting new patients
Alameda Health System CurrentSince Sep 30, 2020 Accepting new patients
County of Santa Clara CurrentSince Aug 6, 2014 Accepting new patients

Locations

2060 Fairmont Dr
Castro Valley, CA 94578
Phone (510) 346-1300

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

820 Enborg Ct
San Jose, CA 95128
Phone (408) 885-6161

Organizations & group practices 6

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1821167206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA",
            "address_2": "STE 228",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262305",
            "telephone_number": "408-293-3971",
            "fax_number": "408-293-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA",
            "address_2": "STE 228",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262305",
            "telephone_number": "408-293-3971",
            "fax_number": "408-293-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUGH",
        "first_name": "SEAN",
        "middle_name": "YOUNG-IL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A65107",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A65107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.