Organization Active NPI

Bernard Hade

  • Psychiatry Physician
  • Caribou, ME
National Provider Identifier
1841348331
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
013280 Issued in ME
Legal business name
BERNARD HADE
Practice address
7 Hatch Drive
Suite 110
Caribou, ME 04736
Phone
(207) 492-1045
Fax
(207) 492-1046
NPI assigned
Jan 8, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Patti Sue Burgess
Title
Billing
Phone
(207) 492-1045

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 013280 ME Primary

Addresses

NPPES NPI Registry

Primary practice location

7 Hatch Drive
Suite 110
Caribou, ME 04736

Mailing address

7 Hatch Drive
Suite 110
Caribou, ME 04736
Phone (207) 492-1045

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
133550000MedicaidME
RX2438OtherMEACTIVE PROVIDER TRANSACTION ACCESS NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 24, 2008.

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1841348331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HATCH DRIVE",
            "address_2": "SUITE 110",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "04736",
            "telephone_number": "207-492-1045",
            "fax_number": "207-492-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 HATCH DRIVE",
            "address_2": "SUITE 110",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "04736",
            "telephone_number": "207-492-1045",
            "fax_number": "207-492-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERNARD HADE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "BURGESS",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "207-492-1045",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "013280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133550000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACTIVE PROVIDER TRANSACTION ACCESS NUMBER",
            "identifier": "RX2438",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.