Individual provider Active NPI

Susan M Hakeman, M.D.

  • Psychiatry Physician
  • Bellingham, WA
National Provider Identifier
1831236033
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
WA32043 Issued in WA
Practice address
1112 11TH St Ste 301
Bellingham, WA 98225-6654
Phone
(360) 671-1701
Fax
(360) 756-8850
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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 WA32043 WA Primary

Addresses

Primary practice location

1112 11TH St Ste 301
Bellingham, WA 98225-6654

Mailing address

1112 11TH St Ste 301
Bellingham, WA 98225-6654
Phone (360) 671-1701

Other identifiers 1

IdentifierTypeStateIssuer
1982HAOtherWAREGENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080123000677 WA Practitioner - Psychiatry 1850473315 Practice locations: Bellingham, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1112 11TH St
Suite 301
Bellingham, WA 98225-6654
Phone (360) 671-1701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
WA32043WAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry S. Levine, M.D. Psychiatry Past Accepting new patients

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1831236033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 11TH ST STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256654",
            "telephone_number": "360-671-1701",
            "fax_number": "360-756-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 11TH ST STE 301",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256654",
            "telephone_number": "360-671-1701",
            "fax_number": "360-756-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAKEMAN",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "WA32043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "1982HA",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.