CARL D. HAUGEN (NPI# 1942368253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1942368253 |
Entity Type | Individual |
Full Name | CARL D. HAUGEN |
Credential | PHD |
Practice Address |
102 S 1st Ave Ste 202 Sandpoint ID 83864-1398 |
Practice Telephone | 2082557339 |
Practice Fax Number | 2082630951 |
Mailing Telephone | 2082557339 |
Mailing Fax Number | 2082630951 |
Enumeration Date | 2006-12-05 |
Last Update Date | 2012-10-31 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY-202109 | ID | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 807197800 | 05 | |
ID | TAX ID | 20-2460875 | 01 |
ID | REGENCE BLUE SHIELD | 000010144301 | 01 |
ID | IDAHO BLUE CROSS | N5558 | 01 |
Street Address |
102 S 1ST AVE STE 202 |
City | SANDPOINT |
State | ID |
Zip Code | 83864-1398 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235473992 | Amanda Lee Thomas | Marriage & Family Therapist | 102 S 1st Ave Ste 202, Sandpoint, ID 83864-1398 | 2012-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144842600 | Deblaquiere Enterprises, Inc. | Pharmacy | 1319 Hwy 2, Suite A, Sandpoint, ID 83864 | 2020-05-07 |
1245867670 | Kimberly Sue Batchelder | Massage Therapist | Sandpoint Medical Massage & Bodyworks, LLC, 515 Pine Street Ste G., Sandpoint, ID 83864 | 2020-03-25 |
1699309963 | Ckam Rejuvenation Center LLC | Massage Therapist | 1315 Us-2, #5, Sandpoint, ID 83864 | 2020-02-26 |
1427602986 | Alpine Hand Therapy Inc | Physical Medicine & Rehabilitation | 1205 Hwy 2, Suite 102, Sandpoint, ID 83864 | 2019-08-01 |
1295388536 | Momentum Medical Massage and Personal Training, LLC | Massage Therapist | 1013 W Lake St, Sandpoint, ID 83864 | 2019-07-16 |
1629508932 | Karen Elizabeth Vollmer-poseley | Counselor | 506 N. 4th Ave, Sandpoint, ID 83864 | 2017-06-19 |
1760912042 | Gregory Jon Anthony Prins | Dentist | 1305 Highway 2 West, Sandpoint, ID 83864 | 2017-06-19 |
1730547084 | Charity Catlin | Midwife | 204 N 4th Ave #2355, Sandpoint, ID 83864 | 2016-02-02 |
1497148860 | Loftus Family Dental - Sandpoint Pllc | Dentist | 1310 Ponderosa Drive, Suite A, Sandpoint, ID 83864 | 2015-03-10 |
1215365523 | Tamarack Treatment and Counseling Center, Pllc | Counselor | 101 N. Boyer Ave, Sandpoint, ID 83864 | 2013-10-23 |
Find all providers in zip 83864 |
Taxonomy Code | 103TC1900X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Counseling |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982112660 | Bonner General Hospital, Inc | Psychologist | 606 N 3rd Ave Ste 203, Sandpoint, ID 83864-1691 | 2018-01-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649764713 | Clarissa Marie Edge Richardson | Psychologist | University of Idaho Student Health Center 210, Moscow, ID 83844-0001 | 2018-06-21 |
1538583869 | Meier Clinics of California | Psychologist | 360 East Avenue, Suite 200, Ketchum, ID 83340 | 2014-02-06 |
1841542982 | Jeffrey Lee Elder II | Psychologist | 2335 Robison Dr, Rexburg, ID 83440-3310 | 2012-10-14 |
1336477207 | Rd Boardman | Psychologist | Health Services 1529 Belmont St, Boise, ID 83725-0001 | 2009-12-03 |
1073748950 | Nancy Sasse Sasser | Psychologist | 1060 Showalter Rd, Moscow, ID 83843-9199 | 2009-05-21 |
1578732293 | Melissa A Boley | Psychologist | 333 South Main St Ste 104, Ketchum, ID 83340 | 2008-02-27 |
1336361336 | Jon E. Ashton | Psychologist | 2273 East Gala, Suite 100, Meridian, ID 83642-7289 | 2007-05-02 |
1184741282 | Gregory W. Mondin | Psychologist | 220 W State St, Boise, ID 83702-6052 | 2007-03-23 |
1528105624 | Laura Mckee Psy D L L C | Psychologist | 158 North 1st East Street, Driggs, ID 83422 | 2007-01-30 |
1619025251 | Dale Arlan Babcock | Psychologist | 1500 West Barrett Drive, Meridian, ID 83642 | 2007-01-08 |
Find all providers with the same taxonomy |
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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.