CARL D. HAUGEN


Address: 102 S 1st Ave Ste 202, Sandpoint, ID 83864-1398
Phone: 2082557339

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PSY-202109 ID Behavioral Health & Social Service Providers

Other Provider Identifier

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

Office Location

Street Address 102 S 1ST AVE STE 202
City SANDPOINT
State ID
Zip Code 83864-1398

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982112660 Bonner General Hospital, Inc Psychologist 606 N 3rd Ave Ste 203, Sandpoint, ID 83864-1691 2018-01-17

Providers in the same taxonomy and state

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
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Competitor

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City SANDPOINT
Zip Code 83864

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Dataset Information

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.

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