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PHILIP C. HAINES M.D.
NPI 1679633994
Psychiatry & Neurology - Child & Adolescent Psychiatry in Grand Rapids, MI

Active since December 08, 2006PECOS Enrolled
1011 PARCHMENT DR SE, GRAND RAPIDS, MI 49546(616) 957-2200(616) 957-4274 Get Directions Write a Review

NPPES record last updated: July 11, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Philip C. Haines M.d. NPPES

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

PHILIP C. HAINES M.D. (NPI 1679633994) is an individual child & adolescent psychiatry provider in Grand Rapids, Michigan, licensed in Michigan (4301033971) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679633994
Entity TypeIndividualMale
Primary Taxonomy2084P0804X
Provider Legal NamePHILIP C. HAINESCredential: M.D.
Location Address1011 PARCHMENT DR SEGrand Rapids, MI 49546-3664
Mailing Address1011 Parchment Dr SeGrand Rapids, MI 49546-3664 · (616) 957-2200 · Fax (616) 957-4274
Phone(616) 957-2200
Fax(616) 957-4274
Sole ProprietorYes
Enumeration DateDecember 8, 2006
Last NPPES UpdateJuly 11, 2011
✔ NPI 1679633994 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 MI · 4301033971
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 ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 4301033971 (MI)
1011 PARCHMENT DR SE, Grand Rapids, MI 49546
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Other Identifiers 4

Medicare UPINB45242
Medicare ID-Type Unspecified0410081MI
Medicaid103028918MI
Other383145416Tax I.d. Number

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Philip C. Haines 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.

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 Philip Haines's NPI number?

The NPI number for Philip Haines is 1679633994. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Philip Haines located?

Philip Haines practices at 1011 Parchment Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 957-2200.

What is Philip Haines's specialty?

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

Is Philip Haines enrolled in Medicare?

Yes. Philip Haines is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Philip Haines was last updated on July 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.