DR. KIM HAVENNER


Address: 10805 Main St Ste 500, Fairfax, VA 22030-4747
Phone: 7032834153

DR. KIM HAVENNER (NPI# 1972933364) 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) 1972933364
Entity Type Individual
Full Name DR. KIM HAVENNER
Credential PSY.D.
Practice Address 10805 Main St Ste 500
Fairfax
VA 22030-4747
Mailing Address 10714 Scott Dr
Fairfax
VA 22030-3023
Practice Telephone 7032834153
Mailing Telephone 7032834153
Enumeration Date 2013-11-21
Last Update Date 2013-11-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810004884 VA Behavioral Health & Social Service Providers

Office Location

Street Address 10805 MAIN ST STE 500
City FAIRFAX
State VA
Zip Code 22030-4747

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205449477 Perry Camp Jr. Psychologist 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 2020-08-28
1952940322 Brightview Fair Oaks, LLC Alzheimer Center (Dementia Center) 12725 Lee Highway, Fairfax, VA 22030 2020-01-02
1245871524 Tori Sprowl Behavioral Analyst 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 2019-10-08
1528612124 Paul Sarigianis Student in an Organized Health Care Education/Training Program 10379b Democracy Lane, Fairfax, VA 22030 2019-07-31
1497221303 Kahak, Inc. Day Training, Developmentally Disabled Services 10560 Main Street Suite Ps100, Fairfax, VA 22030 2018-10-17
1689177073 Shamoona Sharif Dentist 11050 Lee Hwy, Fairfax, VA 22030 2018-03-13
1205339538 Rachael Lee Greene Social Worker 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 2018-03-13
1558863027 Jacqueline Renee Bauer Skilled Nursing Facility 10701 Main Street, Fairfax, VA 22030 2018-03-01
1275033607 Philajo Global LLC Non-emergency Medical Transport (VAN) 4521 Billingham Street, Fairfax, VA 22030 2018-02-12
1376050401 Alexander Harrison Counselor 4400 University Drive, Ms 2a2, Fairfax, VA 22030 2018-01-10
Find all providers in zip 22030

Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699232173 Alexis Melville Psychologist 4094 Majestic Ln Unit 315, Fairfax, VA 22033-2104 2019-02-21
1558867333 Kyoung Deok Baik Psychologist 3554 Chain Bridge Rd Ste 103, Fairfax, VA 22030-2709 2018-04-02
1265849822 Shushan Campbell Psychologist 10521 Rosehaven St Ste 100, Fairfax, VA 22030-2877 2014-07-16
1679994867 Claire Bartick Psychologist 9707 Commonwealth Blvd, Fairfax, VA 22032-2824 2013-12-15
1912348343 Tanisha S Bracey Psychologist 5403 Cabot Ridge Ct, Fairfax, VA 22032-3214 2013-07-15
1477833168 Leslie Ann Hawkins Psychologist 9840 Main St Ste 201, Fairfax, VA 22031-3909 2011-08-25
1982998910 Barbara G Smith Psychologist 11216 Waples Mill Road, Suite 104, Fairfax, VA 22030 2011-06-07
1184918401 Martina Pavlicek Psychologist 11130 Fairfax Blvd Ste 305, Fairfax, VA 22030-5035 2011-06-03
1821303264 Lianna R Bennett Psychologist 3607 Chain Bridge Rd, Ste A, Fairfax, VA 22030-3242 2010-08-10
1215187281 Audiovisual Healthcare Services LLC Psychologist 3559 Plum Dale Dr, Fairfax, VA 22033-1250 2008-09-25
Find all providers in FAIRFAX

Competitor

Search similar providers

City FAIRFAX
Zip Code 22030

Improve Information

Please comment or provide details below to improve the information on DR. KIM HAVENNER.

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.

Trending Searches