| Kendra Lauren Haven, PHD | |
|
7 Route 25a, Smithtown, NY 11787-1626 | |
| (631) 724-2200 | |
| Not Available |
| Full Name | Kendra Lauren Haven |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 7 Route 25a, Smithtown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205939493 | NPI | - | NPPES |
| 00906487 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 008198 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 008198 (New York) | Primary |
| Entity Name | Senior Care Therapy Psychology Of New York Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437628203 PECOS PAC ID: 2264774793 Enrollment ID: O20190501002984 |
| Mailing Address | Practice Location Address |
|---|---|
| Kendra Lauren Haven, PHD 65 Chestnut Hill Rd, Stone Ridge, NY 12484-5562 Ph: (845) 687-7067 | Kendra Lauren Haven, PHD 7 Route 25a, Smithtown, NY 11787-1626 Ph: (631) 724-2200 |
Dr. Sagit Vishnia, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 88 Terry Rd, Suite #2, Smithtown, NY 11787 Phone: 516-263-5160 Fax: 631-751-1278 | |
Dr. Mark Lawrence Dayboch, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 119 Fifty Acre Rd S, Smithtown, NY 11787 Phone: 631-979-9294 | |
Karleen Marie Gabriel, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35 Steven Pl, Smithtown, NY 11787 Phone: 631-807-2010 | |
Christine Spence, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 410 Landing Ave, Smithtown, NY 11787 Phone: 631-229-6942 Fax: 631-229-6942 | |
Melinda Delcastillo, MD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 278 E Main St, Smithtown, NY 11787 Phone: 631-361-6960 Fax: 631-366-5346 | |
Dr. Emma Leah Hettrich, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Sunset Ln, Smithtown, NY 11787 Phone: 631-338-7088 | |
Dr. Oren Michael Shefet, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21 Redwood Ln, Smithtown, NY 11787 Phone: 917-446-4532 |