Kimberly Sue Haga, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY5717 Issued in FL

Practice address

13 Via Carrara
Palm Beach Gardens, FL 33418-3792

Phone

(850) 291-4138

Fax

(866) 631-8054

NPI assigned

Jul 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616803200000",
    "number": "1306877345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 VIA CARRARA",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183792",
            "telephone_number": "850-291-4138",
            "fax_number": "866-631-8054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 VIA CARRARA",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334183792",
            "telephone_number": "850-291-4138",
            "fax_number": "866-631-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGA",
        "first_name": "KIMBERLY",
        "middle_name": "SUE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-03-27",
        "certification_date": "2021-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "FL",
            "license": "PY5717",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "FL",
            "license": "PY5717",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY5717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "PY5717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Haas-Leffler, O.D.
• Cynthia Habashy, DMD
• Thomas Hackett, DC
• Luis J. Haddock, M.D.
• Elena Michelle Hadley
• Kelsey Louise Hagan-Bzura, PHYSICIAN ASSISTANT
• Alana Hagen, APRN
• Bailey Hagerman
• Robin J Hahner, P.A.-C
• David Robert Halfon, L.M.T.

• Clinical Psychologist in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2021; 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.