Haven Clinic

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

Legal business name

HAVEN CLINIC

Practice address

1150 N 25TH St Ste D
Grand Junction, CO 81501-6561

Phone

(970) 985-4066

NPI assigned

May 29, 2020

Last updated

Jun 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha AmosNPI 1386839009

Title

Owner

Phone

(970) 985-4066

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martha Amos, BA

  • Mental Health Counselor
  • Grand Junction, CO
  • NPI 1386839009
  NPD Authorized official

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1235753948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 25TH ST STE D",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 N 25TH ST STE D",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815016561",
            "telephone_number": "970-985-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "AMOS",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-985-4066"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Parker Hatfield, NNP
• Erin Marie Hatter, RN, BSN
• Shannon Leah Hattervig, ATC
• Kyla Ann Hauer, LCSW
• Matthew Haut
• Olivia Anne Haver, PA-C
• Dean M Havlik, MD
• Melissa G. Havlik, MD
• Jeremy Hawkins, PHD, ATC, LAT
• Michael Stevens Hawthorne, D.C.

• Addiction Medicine (Family Medicine) Physician in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Addiction Medicine (Family Medicine) Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.