Individual provider Active NPI

Pamela Joan Haavik, MFT

  • Marriage & Family Therapist
  • Hayward, CA
National Provider Identifier
1104024389
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
32662 Issued in CA
Practice address
30706 Carroll Ave
Hayward, CA 94544-7524
Phone
(510) 284-5978
Fax
(510) 429-8389
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 32662 CA
Mental Health Counselor 101YM0800X MF32662 CA
Marriage & Family Therapist 106H00000X 32662 CA Primary

Addresses

Primary practice location

30706 Carroll Ave
Hayward, CA 94544-7524

Mailing address

30706 Carroll Ave
Hayward, CA 94544-7524
Phone (510) 284-5978

Other identifiers 1

IdentifierTypeStateIssuer
4573244MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260213000564 CA Practitioner - Marriage and Family Therapist 7719467307 Practice locations: Hayward, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hayward, CA 94544
Phone (510) 246-2783

5604 Willow Creek LN
Richmond, VA 23225-2659

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32662CAMDMental Health Counselor
MF32662CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1104024389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30706 CARROLL AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447524",
            "telephone_number": "510-284-5978",
            "fax_number": "510-429-8389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30706 CARROLL AVE",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945447524",
            "telephone_number": "510-284-5978",
            "fax_number": "510-429-8389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAVIK",
        "first_name": "PAMELA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "32662",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MF32662",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "32662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4573244",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.