Organization Active NPI

Altman & Haavik PA

  • Clinical Psychologist
  • Lawrence, KS
National Provider Identifier
1194895953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
LP0695 Issued in KS
Legal business name
ALTMAN & HAAVIK PA
Practice address
1711 Massachusetts St
Lawrence, KS 66044-4257
Phone
(785) 331-3400
Fax
(785) 842-6007
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karl I Altman, PHD
Title
Chief Psychologist
Phone
(785) 331-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X LP0290 KS
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X LP0695 KS Primary

Addresses

Primary practice location

1711 Massachusetts St
Lawrence, KS 66044-4257

Mailing address

1711 Massachusetts St
Lawrence, KS 66044-4257
Phone (785) 331-3400

Other names 1

  • Lawrence Family Practice Psychologists Former legal business name

National Provider Directory

National Provider Directory

Locations

1711 Massachusetts St
Lawrence, KS 66044
Phone (785) 331-3400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194895953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 MASSACHUSETTS ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444257",
            "telephone_number": "785-331-3400",
            "fax_number": "785-842-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 MASSACHUSETTS ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660444257",
            "telephone_number": "785-331-3400",
            "fax_number": "785-842-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTMAN & HAAVIK PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALTMAN",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "CHIEF PSYCHOLOGIST",
        "authorized_official_telephone_number": "785-331-4100",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP0290",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "LP0695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence Family Practice Psychologists",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.