Active NPI
L'Tanya A. Haith, M.D.
- Psychiatry Physician
- Lexington Park, MD
National Provider Identifier
1891808010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- D69187
- Practice address
- 21770 FDR Boulevard
Lexington Park, MD 20653 - Phone
- (301) 863-6661
- Fax
- (301) 866-9189
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301042544 | MI | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 4301042544 | MI | |
| Psychiatry Physician | 2084P0800X | D69187 | MD | Primary |
Addresses
Primary practice location
21770 FDR Boulevard
Lexington Park, MD 20653
Mailing address
21770 FDR Boulevard
Lexington Park, MD 20653
Phone (301) 863-6661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2604103891 | Other | MI | BCBS OF MICHIGAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D69187 | MD | MD | Psychiatry Physician |
| 4301042544 | MI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Touchstone Innovare | 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": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369094400000",
"number": "1891808010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21770 FDR BOULEVARD",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "20653",
"telephone_number": "301-863-6661",
"fax_number": "301-866-9189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21770 FDR BOULEVARD",
"city": "LEXINGTON PARK",
"state": "MD",
"postal_code": "20653",
"telephone_number": "301-863-6661",
"fax_number": "301-866-9189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAITH",
"first_name": "L'TANYA",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2013-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301042544",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "MI",
"license": "4301042544",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MD",
"license": "D69187",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MICHIGAN",
"identifier": "2604103891",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington Park, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.