Individual provider Active NPI

Emily Suzanne Haight, PH.D.

  • Clinical Psychologist
  • Solon, IA
National Provider Identifier
1669463238
Registry record updated May 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-003992 Issued in IL
Practice address
4059 Crest View Rd. NE
Solon, IA 52333-9457
Phone
(708) 717-4234
Fax
(708) 687-8120
NPI assigned
Nov 2, 2005
Last updated
May 9, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-003992 IL Primary

Addresses

Primary practice location

4059 Crest View Rd. NE
Solon, IA 52333-9457

Mailing address

4059 Crest View Rd. NE
Solon, IA 52333-9457
Phone (708) 717-4234

Other identifiers 1

IdentifierTypeStateIssuer
09932221OtherILBLUE CROSS/SHIELD PPO

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

LicenseStateTypeSpecialty
071-003992ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Uncompahgre Combined Clinics PastSince Jan 26, 2017 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304899200000",
    "number": "1669463238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4059 CREST VIEW RD. NE",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339457",
            "telephone_number": "708-717-4234",
            "fax_number": "708-687-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 CREST VIEW RD. NE",
            "city": "SOLON",
            "state": "IA",
            "postal_code": "523339457",
            "telephone_number": "708-717-4234",
            "fax_number": "708-687-8120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIGHT",
        "first_name": "EMILY",
        "middle_name": "SUZANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-003992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/SHIELD PPO",
            "identifier": "09932221",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2011; 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.