Individual provider Active NPI

Alphonse Hayeck, M.D.

  • Psychiatry Physician
  • North Miami, FL
National Provider Identifier
1962510073
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME43854 Issued in FL
Practice address
12550 Biscayne Blvd
Suite 919
North Miami, FL 33181-2541
Phone
(305) 892-4600
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ME43854 FL Primary

Addresses

Primary practice location

12550 Biscayne Blvd
Suite 919
North Miami, FL 33181-2541

Mailing address

12550 Biscayne Blvd
Suite 919
North Miami, FL 33181-2541
Phone (305) 892-4600

Other identifiers 1

IdentifierTypeStateIssuer
37904200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120712000607 FL Practitioner - Psychiatry 7719142926 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Gardens Community Mental Health Center of Miami Beach, Inc. CurrentSince Jan 7, 2013 Accepting new patients
Psychosocial Rehabilitation Center Inc CurrentSince Mar 24, 2014 Accepting new patients
Bayview Center for Mental Health Inc PastSince Aug 21, 2012 Accepting new patients

Locations

1680 Meridian Ave
Ste 501
Miami Beach, FL 33139
Phone (305) 531-5341

5711 S Dixie Hwy
South Miami, FL 33143
Phone (305) 667-1036

Organizations & group practices 3

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962510073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD",
            "address_2": "SUITE 919",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "305-892-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 BISCAYNE BLVD",
            "address_2": "SUITE 919",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331812541",
            "telephone_number": "305-892-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYECK",
        "first_name": "ALPHONSE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME43854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37904200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Miami, FL

Sources for this page

Verify at the official NPI Registry.