MR. JUDSON AUSTIN HAYNES (NPI# 1346650298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346650298 |
| Entity Type | Individual |
| Full Name | MR. JUDSON AUSTIN HAYNES |
| Practice Address |
884 West Park Avenue Port Townsend WA 98368 |
| Mailing Address |
Po Box 565 884 West Park Avenue Port Townsend WA 98368 |
| Practice Telephone | 3603850321 |
| Practice Fax Number | 3603795534 |
| Mailing Telephone | 3603850321 |
| Mailing Fax Number | 3603795534 |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2015-06-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CP60211997 | WA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60531241 | WA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2044230 | 05 |
| Street Address |
884 WEST PARK AVENUE |
| City | PORT TOWNSEND |
| State | WA |
| Zip Code | 98368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639161680 | Susan M Ehrlich | Psychiatry & Neurology | 884 West Park Avenue, Port Townsend, WA 98368-0565 | 2005-08-16 |
| 1205206059 | Erika Rachelle Gream Dorsey | Counselor | 884 West Park Avenue, Port Townsend, WA 98368-0565 | 2015-10-05 |
| 1831565837 | Pamela Marsing | Social Worker | 884 West Park Avenue, Port Townsend, WA 98368 | 2015-08-13 |
| 1396069449 | Erik Anders Nygard | Psychologist | 884 West Park Avenue, Port Townsend, WA 98368 | 2010-03-18 |
| 1376707778 | Janine Parakletos | Counselor | 884 West Park Avenue, Port Townsend, WA 98368 | 2008-07-15 |
| 1003977463 | Jill M Paulk | Social Worker | 884 West Park Avenue, Port Townsend, WA 98368 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730727827 | Ace It Employment & Transition Services LLC | Community/Behavioral Health | 1233 Lawrence Street, Port Townsend, WA 98368 | 2019-12-19 |
| 1942862792 | Peninsula Midwives | Midwife | 203 Pocket Lane, Port Townsend, WA 98368 | 2019-07-02 |
| 1700349461 | Kelle Gayelena Ronnfeldt | Nurse Practitioner | 844 West Park Ave, Port Townsend, WA 98368 | 2019-04-10 |
| 1841769031 | Richard Sankey Hansen | Counselor | 448 Hastings Ave, Port Townsend, WA 98368 | 2018-11-16 |
| 1255800595 | Alan P Brown | Counselor | 821 Mcpherson St, Port Townsend, WA 98368 | 2018-11-15 |
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1093297434 | Jacqueline Levin | Clinical Nurse Specialist | 234 Pond Road, Port Townsend, WA 98368 | 2018-09-02 |
| 1306335682 | Matthew D Hust | Physical Therapy Assistant | 751 Kearney Street, Port Townsend, WA 98368 | 2018-05-02 |
| 1306368238 | Michael Ozar | Psychologist | 1806 Walnut Street, Port Townsend, WA 98368 | 2017-07-12 |
| 1336674076 | Yuko Umeda | Registered Nurse | 615 Sheridan Street, Port Townsend, WA 98368 | 2017-05-01 |
| Find all providers in zip 98368 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699257873 | Megan E Smith | Counselor | 260 Kala Point Dr, Ste 99, Port Townsend, WA 98368 | 2018-09-04 |
| 1659775484 | Crystal F. Clair, Inc. | Counselor | 1136 Water Street, Suite 112, Port Townsend, WA 98368 | 2014-10-22 |
| 1710275490 | Arista B Dechant | Counselor | 181 N Lyter Ave, Port Townsend, WA 98368 | 2011-07-15 |
| 1114240405 | Catharine Robinson | Counselor | 1070 Tremont St, Port Townsend, WA 98368-4067 | 2010-03-01 |
| 1598097156 | Julia A Rouse | Counselor | 1607 Sheridan St, Port Townsend, WA 98368-7614 | 2010-02-08 |
| 1992034953 | Jane I Macaskill | Counselor | 5480 Landes St, Port Townsend, WA 98368-1621 | 2009-12-21 |
| 1225281892 | Marilyn Freida Fenn | Counselor | 1520 Jefferson Street, Port Townsend, WA 98368-8152 | 2008-10-28 |
| 1245480656 | Michael Dobkevich | Counselor | 1310 Rose St, Port Townsend, WA 98368-4066 | 2008-09-22 |
| 1639337702 | Annmarie R Emineth | Counselor | 1136 Water St Ste 113, Suite 301, Port Townsend, WA 98368-6728 | 2008-05-27 |
| 1356556351 | Susanne Joyce Higbee | Counselor | 24 Freeman Ln, Port Townsend, WA 98368-9704 | 2007-05-12 |
| Find all providers in PORT TOWNSEND | ||||
| City | PORT TOWNSEND |
| Zip Code | 98368 |
Please comment or provide details below to improve the information on MR. JUDSON AUSTIN HAYNES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.