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LYDIA HAREN M.D.
NPI 1588766844
Psychologist - Addiction (Substance Use Disorder) in Charleston, SC

Active since September 05, 2006PECOS Enrolled
2900 EVATT LN, SUITE 106, CHARLESTON, SC 29405(843) 745-5153 Get Directions Write a Review

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

About Lydia Haren M.d. NPPES

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

LYDIA HAREN M.D. (NPI 1588766844) is an individual addiction (substance use disorder) provider in Charleston, South Carolina, licensed in South Carolina (20542) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588766844
Entity TypeIndividualFemale
Primary Taxonomy103TA0400X
Provider Legal NameLYDIA HARENCredential: M.D.
Location Address2900 EVATT LN, SUITE 106Charleston, SC 29405-8700
Mailing Address2900 Evatt Ln, Suite 106Charleston, SC 29405-8700 · (843) 745-5153
Phone(843) 745-5153
Sole ProprietorNo
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1588766844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in SC · 20542
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
2900 EVATT LN, Charleston, SC 29405
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Other Identifiers 2

Medicaid205423SC
Medicare UPINH64584

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lydia Haren 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.

Medicare Billing Reassignments

2

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

Palmetto Behavioral Health Solutions, LLC
0.2 mi
Mental Health
2777 SPEISSEGGER DR
Charleston, SC 29405
  • Reassigned Medicare billing, South Carolina enrollment
  • 7 clinicians in this Medicare group
NPI 1104885516 (843) 266-7096
State Of Tennessee
313 mi
Psychiatric Hospital
5908 LYONS VIEW PIKE
Knoxville, TN 37919
  • Reassigned Medicare billing, Tennessee enrollment
  • 89 clinicians in this Medicare group
NPI 1467538009 (865) 584-1561

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

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 Lydia Haren's NPI number?

The NPI number for Lydia Haren is 1588766844. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Lydia Haren located?

Lydia Haren practices at 2900 Evatt Ln Suite 106, Charleston, SC 29405. The listed phone number is (843) 745-5153.

What is Lydia Haren's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

Is Lydia Haren enrolled in Medicare?

Yes. Lydia Haren is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lydia Haren's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lydia Haren reassigns Medicare benefits to 2 organizations: Palmetto Behavioral Health Solutions, LLC (Charleston, SC) and State Of Tennessee (Knoxville, TN). 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 Lydia Haren'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 Lydia Haren 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.