Active NPI
Howard Joel Haven, PHD
- Clinical Psychologist
- Brookfield, WI
National Provider Identifier
1356401475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 487
- Practice address
- 12690 W North Avenue
Elmbrook Family Counseling Center
Brookfield, WI 53005 - Phone
- (262) 785-9188
- Fax
- (262) 785-0644
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 487 | WI | Primary |
Addresses
Primary practice location
12690 W North Avenue
Elmbrook Family Counseling Center
Brookfield, WI 53005
Mailing address
12690 W North Avenue
Brookfield, WI 53005
Phone (262) 785-9188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 487 | WI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356401475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12690 W NORTH AVENUE",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "53005",
"telephone_number": "262-785-9188",
"fax_number": "262-785-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12690 W NORTH AVENUE",
"address_2": "ELMBROOK FAMILY COUNSELING CENTER",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "53005",
"telephone_number": "262-785-9188",
"fax_number": "262-785-0644"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVEN",
"first_name": "HOWARD",
"middle_name": "JOEL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "487",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.