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ANTHONY KEALA HAVENS RN, NP
NPI 1336780014
Nurse Practitioner - Psychiatric/Mental Health in New York, NY

Active since October 03, 2019PECOS Enrolled
109 E 115TH ST, NEW YORK, NY 10029(541) 206-3529 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 19, 2025, Sep 1, 2020, Oct 3, 2019 (3 updates tracked since 2019).

About Anthony Keala Havens Rn, Np NPPES

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

ANTHONY KEALA HAVENS RN, NP (NPI 1336780014) is an individual psychiatric/mental health provider in New York, New York, licensed in New York (403148) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1336780014
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameANTHONY KEALA HAVENSCredential: RN, NP
Location Address109 E 115TH STNew York, NY 10029-1186
Mailing Address312 Chateau RivePeekskill, NY 10566-2166 · (541) 206-3529
Phone(541) 206-3529
Sole ProprietorYes
Enumeration DateOctober 3, 2019
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
✔ NPI 1336780014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 403148
Also ListedRegistered NurseTaxonomy 163W00000X · License 758196 (NY)
109 E 115TH ST, New York, NY 10029
Open in Google Maps ↗

Secondary Practice Location 1

Location 1111 Sunken Garden LoopNew York, NY 10035-1165 · Phone (541) 206-3529

Other Identifiers 1

Other758196NY · Rn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anthony Keala Havens Rn, Np 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DOROTHY JADA RYDER
Psychologist
109 E 115TH ST
NEW YORK, NY 10029
New York County (646) 663-0117
TAYYAB CHOUDHRY
Social Worker (Clinical)
109 E 115TH ST
NEW YORK, NY 10029
New York County (929) 545-4861
LAURA DUBINSKY
Social Worker (Clinical)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 660-8150
MS. DYLAN SHAYLA CLAY-DEVLIN
Counselor (Mental Health)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 633-9300
BRITTANI MONIQUE BOVELL
Social Worker
109 E 115TH ST
NEW YORK, NY 10029
New York County (917) 485-7280
KATHERINE RODRIGUEZ MS, MHC-LP
Counselor (Mental Health)
109 E 115TH ST
NEW YORK, NY 10029
New York County (347) 306-8537
STEPHANIE MARIE HENDERSON LMSW
Social Worker (Clinical)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 633-9300
SHANNON MARKS
Counselor (Mental Health)
109 E 115TH ST
NEW YORK, NY 10029
New York County (212) 633-9300

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 Anthony Havens's NPI number?

The NPI number for Anthony Havens is 1336780014. It was assigned to this individual provider in the NPPES registry on October 3, 2019.

Where is Anthony Havens located?

Anthony Havens practices at 109 E 115th St, New York, NY 10029. The listed phone number is (541) 206-3529.

What is Anthony Havens's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Anthony Havens enrolled in Medicare?

Yes. Anthony Havens is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anthony Havens was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.