JUDITH ANN HAYNES (NPI# 1902992324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902992324 |
| Entity Type | Individual |
| Full Name | JUDITH ANN HAYNES |
| Other Name | JUDITH ANN KAIN |
| Credential | PH.D. |
| Practice Address |
1407 24th Ave S Grand Forks ND 58201-6761 |
| Practice Telephone | 7017466336 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
176 | ND | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 12892 | 05 | |
| ND | VALUE OPTIONS | 085222 | 01 |
| ND | BLUECROSSBLUESHIELD OF ND | 24741 | 01 |
| MN | BLUECROSSBLUESHIELD OF MN | 638K4HA | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580364 | Judith Luann Haynes | Nurse Practitioner | 620 S. Cleveland Ave, Westerville, OH 43081 | 2018-09-01 |
| Street Address |
1407 24TH AVE S |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201-6761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912092263 | Kristina S Cavalli | Social Worker | 1407 24th Ave S, Ste. 530, Grand Forks, ND 58201-6761 | 2006-10-04 |
| 1679015689 | Knudson Bauer Counseling, Pllp | Counselor | 1407 24th Ave S, Suite #203, Grand Forks, ND 58201-6761 | 2016-11-08 |
| 1912359886 | L.i.s.t.e.n. Inc | Day Training, Developmentally Disabled Services | 1407 24th Ave S, 100, Grand Forks, ND 58201-6761 | 2016-07-05 |
| 1215335328 | Katherine Anne Benson | Social Worker | 1407 24th Ave S, Ste 217, Grand Forks, ND 58201-6761 | 2014-12-05 |
| 1275789273 | Hull Consultants, Inc. | Clinic/Center | 1407 24th Ave S, Suite 206, Grand Forks, ND 58201-6761 | 2008-08-11 |
| 1710183959 | Victoria Morrissette | Counselor | 1407 24th Ave S, #206, Grand Forks, ND 58201-6761 | 2007-06-25 |
| 1629102256 | Jane A Hull | Counselor | 1407 24th Ave S, Ste. 206, Grand Forks, ND 58201-6761 | 2007-03-15 |
| 1477642981 | Carol Jean Schneweis | Social Worker | 1407 24th Ave S, Suite 217, Grand Forks, ND 58201-6761 | 2006-10-12 |
| 1942397708 | Rosanne Mcbride | Psychologist | 1407 24th Ave S, Grand Forks, ND 58201-6761 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285940304 | Pejcharat Jane Harvey | Psychologist | Mccannell Hall, Room 200, Grand Forks, ND 58202-9042 | 2010-08-26 |
| 1659651933 | Rachel L Navarro | Psychologist | 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201-5895 | 2011-08-18 |
| 1285912840 | Greg Decker | Psychologist | 151 S 4th St Ste 401, Grand Forks, ND 58201-4715 | 2011-08-01 |
| 1316140346 | David H. Whitcomb | Psychologist | 2100 S Columbia Rd, Grand Forks, ND 58201-5895 | 2007-06-07 |
| 1700972122 | Agassiz Associates, Pllc | Psychologist | 2424 32nd Ave S, Ste 202, Grand Forks, ND 58201-6545 | 2006-10-04 |
| 1023035102 | Kara Brita Wettersten | Psychologist | 2100 S Columbia Rd, Suite 202, Grand Forks, ND 58201-5895 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285731802 | Terence W Barrett | Psychologist | 115 University Dr N, Fargo, ND 58102-4667 | 2006-09-17 |
| 1003300187 | Jaryn Lynn Allen | Psychologist | 4733 Amber Valley Pkwy S Ste W, Fargo, ND 58104-8647 | 2018-06-21 |
| 1992201917 | Kayla D Moorer | Psychologist | 1330 Page Dr S Ste 102a, Fargo, ND 58103-3562 | 2018-03-30 |
| City | GRAND FORKS |
| Zip Code | 58201 |
Please comment or provide details below to improve the information on JUDITH ANN 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.