Jon Randolph Haber, PHD

Primary specialty

Research Study SpecialistTaxonomy code 1744R1102X

License

PSY19219 Issued in CA

Practice address

795 Willow Rd # Mc151J
Menlo Park, CA 94025-2539

Phone

(650) 617-2755

Fax

(650) 617-2755

NPI assigned

Dec 3, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228262400000",
    "number": "1053556142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD # MC151J",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-617-2755",
            "fax_number": "650-617-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 WILLOW RD # MC151J",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940252539",
            "telephone_number": "650-617-2755",
            "fax_number": "650-617-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABER",
        "first_name": "JON",
        "middle_name": "RANDOLPH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": "CA",
            "license": "PSY19219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Joseph Gurwith, M.D.
• Frida Dolores Gutierrez
• Jennifer L Gutierrez, MSPT
• Stephanie Alejandra Guzman Lopez, MSW, LCSW, PPSC
• Constance L Habash, MA, LMFT
• Grant F. Halischuk, MD
• Leslie A Hall, PH.D.
• Stephanie Joann Hall
• Julia A Hallee, MD
• Haijing Wu Hallenbeck, PHD

• Research Study Specialist in Menlo Park, CA
• Providers in Menlo Park, CA by specialty
• Research Study Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.