Judith Ann Haynes, PH.D.

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

176 Issued in ND

Practice address

1407 24TH Ave S
Grand Forks, ND 58201-6761

Phone

(701) 746-6336

NPI assigned

Oct 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Judith Ann Kain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Agassiz Associates, PLLC

  • Clinical Psychologist
  • Grand Forks, ND
  • NPI 1700972122

  Counseling

  NPD (past)
• Center for Psychiatric Care

  • Psychiatry Physician
  • Grand Forks, ND
  • NPI 1043271885
  NPD (past)
• Family Institute, PC

  • Clinical Psychologist
  • Grand Forks, ND
  • NPI 1003832783
  NPD (past)
• Solutions Counseling Services, Inc.

  dba Birchwood Therapeutic Services

  • Professional Counselor
  • Breckenridge, MN
  • NPI 1578614038
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902992324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 24TH AVE S",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582016761",
            "telephone_number": "701-746-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "ND",
            "license": "176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12892",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "085222",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF ND",
            "identifier": "24741",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD OF MN",
            "identifier": "638K4HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "KAIN",
            "middle_name": "ANN",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Courtney Haviland, LCSW
• Isabelle Hawkins
• Jennifer Hayes, PA-C
• Kirk Jacquine Hayes, ATC MPT CERT MDT
• Melissa Jeannette Hayes, FNP-C
• Kaitlin Hazel, MHT
• Healingtree Integrative Health Clinic, PLLC
• Healthy Weighs Nutrition Center, LLC
• Heart Institute of North Dakota LTD
• Heartland Clinic Chiropractic PC (Heartland Clinic of Chiropractic)

• Counseling Psychologist in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Counseling Psychologist in North Dakota

• 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.

Verify at the official NPI Registry.