Kendra Lauren Haven, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

008198 Issued in NY

Practice address

7 Route 25a
Smithtown, NY 11787-1626

Phone

(631) 724-2200

NPI assigned

Sep 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Care Therapy Psychology of New York PLLCGroup PAC ID 2264774793, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Care Therapy Psychology of New York PLLC

  • Clinical Psychologist
  • Flushing, NY
  • NPI 1437628203
  Medicare reassignment Care Compare group NPD
• Svetina &Haven Psychology Services,PLLC

  • Psychologist
  • Hauppauge, NY
  • NPI 1912196460
  NPD
• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  NPD (past)
• East Side Psychiatric Services, PC

  • Psychiatry Physician
  • New York, NY
  • NPI 1548208226
  NPD (past)
• Geriatric Psychological Services PC

  • Psychologist
  • Forest Hills, NY
  • NPI 1124063664
  NPD (past)
• Hollander Psychological Consulting PC

  • Clinical Psychologist
  • White Plains, NY
  • NPI 1760534481
  NPD (past)
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  NPD (past)
• Metropolitan Psychological & Licensed Master Social Work Services PLLC

  • Clinical Psychologist
  • Bay Shore, NY
  • NPI 1891833588
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243900800000",
    "number": "1205939493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CHESTNUT HILL RD",
            "city": "STONE RIDGE",
            "state": "NY",
            "postal_code": "124845562",
            "telephone_number": "845-687-7067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ROUTE 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871626",
            "telephone_number": "631-724-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVEN",
        "first_name": "KENDRA",
        "middle_name": "LAUREN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-06",
        "last_updated": "2009-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "008198",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "008198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00906487",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harvey Gutman, MD PC
• Nadia A Hasaneen, M.D
• Islam Fursan Hasasna, DO
• Valerie Hassell, FNP
• Haven Wellness Counseling LCSW PLLC
• Beth Anne Hayes, D.O.
• Diana Hayes
• Geraldine Hayes, M.A.P.T
• Stanley M Haymes, M.D.
• Hearingz LLC

• Clinical Psychologist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.