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CAMILA AYANNA LEAH HAYNES M.D.
NPI 1194346361
Psychiatry & Neurology - Child & Adolescent Psychiatry in Chicago, IL

Active since April 29, 2020PECOS Enrolled
1747 W ROOSEVELT RD, CHICAGO, IL 60608(312) 355-2642 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Camila Ayanna Leah Haynes M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMILA AYANNA LEAH HAYNES M.D. (NPI 1194346361) is an individual child & adolescent psychiatry provider in Chicago, Illinois, licensed in Illinois (036.165615) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194346361
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameCAMILA AYANNA LEAH HAYNESCredential: M.D.
Location Address1747 W ROOSEVELT RDChicago, IL 60608
Mailing Address1747 W Roosevelt RdChicago, IL 60608 · (312) 355-2642
Phone(312) 355-2642
Sole ProprietorNo
Enumeration DateApril 29, 2020
Last NPPES UpdateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1194346361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in IL · 036.165615
Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1747 W ROOSEVELT RD, Chicago, IL 60608
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Camila Ayanna Leah Haynes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERIKA LUZ GUSTAFSON PHD
Psychologist
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 996-2200
THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS
General Acute Care Hospital
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 996-7723
DR. DANA RUSCH PH.D.
Psychologist (Clinical Child & Adolescent)
1747 W ROOSEVELT RD, INSTITUTE FOR JUVENILE RESEARCH, COLBETH CLINIC
CHICAGO, IL 60608
Cook County (312) 996-7723
JULIA WENZLAFF LCSW
Social Worker (Clinical)
1747 W ROOSEVELT RD, 155 IJR
CHICAGO, IL 60608
Cook County (312) 996-8083
MAANASA BANDLA
Psychiatry & Neurology (Psychiatry)
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 996-9593
DR. NIRANJAN KARNIK M.D., PH.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 273-0185
MYA WILDER
Student in an Organized Health Care Education/Training Program
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 355-1203
JENNIFER SUOR PH.D.
Psychologist (Clinical)
1747 W ROOSEVELT RD
CHICAGO, IL 60608
Cook County (312) 355-3871

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camila Haynes's NPI number?

The NPI number for Camila Haynes is 1194346361. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Camila Haynes located?

Camila Haynes practices at 1747 W Roosevelt Rd, Chicago, IL 60608. The listed phone number is (312) 355-2642.

What is Camila Haynes's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Camila Haynes enrolled in Medicare?

Yes. Camila Haynes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Camila Haynes was last updated on August 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.