Active NPI
Mary Helen Haisten
- Developmental Therapist
- New Albany, IN
National Provider Identifier
1922660356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 601 E 10TH St
New Albany, IN 47150-3220 - Phone
- (502) 741-8589
- NPI assigned
- Jul 6, 2019
- Last updated
- Jul 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | IN | Primary |
Addresses
Primary practice location
601 E 10TH St
New Albany, IN 47150-3220
Mailing address
601 E 10TH St
New Albany, IN 47150-3220
Phone (502) 741-8589
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222Q00000X | Other | IN | 222Q00000X DEVELOPMENTAL THERAPIST |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562371200000",
"number": "1922660356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E 10TH ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471503220",
"telephone_number": "502-741-8589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E 10TH ST",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471503220",
"telephone_number": "502-741-8589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAISTEN",
"first_name": "MARY",
"middle_name": "HELEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-06",
"last_updated": "2019-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "IN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "222Q00000X DEVELOPMENTAL THERAPIST",
"identifier": "222Q00000X",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.