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MS. JENNIFER L HAAK M.D.
NPI 1205925039
Psychiatry & Neurology - Child & Adolescent Psychiatry in Lackawanna, NY

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
650 RIDGE RD, LACKAWANNA, NY 14218(716) 828-9655(716) 828-9745 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Jennifer L Haak M.d. NPPES

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

MS. JENNIFER L HAAK M.D. (NPI 1205925039) is an individual child & adolescent psychiatry provider in Lackawanna, New York, licensed in New York (227149) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2001).

NPPES Registry Identity

NPI1205925039
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameMS. JENNIFER L HAAKCredential: M.D.
Location Address650 RIDGE RDLackawanna, NY 14218-1435
Mailing Address650 Ridge RdLackawanna, NY 14218-1435 · (716) 828-9655 · Fax (716) 828-9745
Phone(716) 828-9655
Fax(716) 828-9745
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2001
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1205925039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in NY · 227149
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.
650 RIDGE RD, Lackawanna, NY 14218
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer L Haak M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597784934
PECOS Enrollment IDI20051115000950
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jennifer Haak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaleida Health
5.5 mi
Diagnostic Radiology
100 HIGH ST
Buffalo, NY 14203
  • Reassigned Medicare billing, New York enrollment
  • 676 clinicians in this Medicare group
NPI 1427870070 (716) 859-7200
Erie County Medical Center Corporation
7.0 mi
Clinic/Center
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
NPI 1528233616 (716) 898-3000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

VIRGINIA BETH GOODREMOTE LMHC
Counselor (Mental Health)
650 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9700
MISS CHRISTINE MARIE WILLIAMS LCSW-R
Social Worker (Clinical)
650 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9700
DANIELLE DYLIK LMSW
Social Worker
650 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-7208
KATHRINE ANN WAGNER VAN GAMMEREN SLP
Speech-Language Pathologist
650 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9500
MS. LINDA A MCCARTAN LMHC
Counselor (Mental Health)
650 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9700
KATHRYN COOPER
Counselor (Mental Health)
650 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9699
MS. COURTNEY RENEE MORAN MSED., LMHC
Counselor (Mental Health)
650 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9743
RACHAEL ANN DUDCZAK LICENSED COUNSELOR
Counselor (Mental Health)
650 RIDGE RD
LACKAWANNA, NY 14218
Erie County (716) 828-9700

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 Jennifer Haak's NPI number?

The NPI number for Jennifer Haak is 1205925039. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Jennifer Haak located?

Jennifer Haak practices at 650 Ridge Rd, Lackawanna, NY 14218. The listed phone number is (716) 828-9655.

What is Jennifer Haak's specialty?

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

Is Jennifer Haak enrolled in Medicare?

Yes. Jennifer Haak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jennifer Haak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Haak reassigns Medicare benefits to 2 organizations: Kaleida Health (Buffalo, NY) and Erie County Medical Center Corporation (Buffalo, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Haak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Haak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.