Active NPI
Emily Suzanne Haight, PH.D.
- Clinical Psychologist
- Solon, IA
National Provider Identifier
1669463238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071-003992
- 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, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09932221 | Other | IL | BLUE 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
| License | State | Type | Specialty |
|---|---|---|---|
| 071-003992 | IL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uncompahgre Combined Clinics | Past | 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.
-
dba Uncompahgre Medical Center
- Federally Qualified Health Center (FQHC)
- Norwood, CO
- NPI 1982774816
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.