| Virginia Page Haviland, PHD | |
|
4424 E Flamingo Ave Ste 310, Nampa, ID 83687-9306 | |
| (208) 302-3760 | |
| (208) 302-3768 |
| Full Name | Virginia Page Haviland |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 31 Years |
| Location | 4424 E Flamingo Ave Ste 310, Nampa, Idaho |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235148131 | NPI | - | NPPES |
| 76372 | Other | ID | BLUE CROSS OF IDAHO |
| 000010153284 | Other | ID | REGENCE BLUE SHIELD OF ID |
| 203644829 | Other | ID | TAX I.D. NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY 292 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Saint Alphonsus Regional Medical Center | Boise, ID | Hospital |
| Saint Alphonsus Medical Center - Nampa | Nampa, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Saint Alphonsus Regional Medical Center Inc | 3476462359 | 533 |
| Entity Name | Saint Alphonsus Regional Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Page Haviland, PHD 3340 E Goldstone Dr, Meridian, ID 83642-1026 Ph: (208) 367-5170 | Virginia Page Haviland, PHD 4424 E Flamingo Ave Ste 310, Nampa, ID 83687-9306 Ph: (208) 302-3760 |
Dr. Christine Kildow, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 915 Parkcentre Way Ste 7, Nampa, ID 83651 Phone: 208-442-7791 | |
Ahva Mozafari, Psychologist Medicare: Medicare Enrolled Practice Location: 9850 W St Lukes Dr # 329, Nampa, ID 83687 Phone: 208-514-2509 Fax: 208-375-2217 | |
Casey Payne, LPC Psychologist Medicare: Medicare Enrolled Practice Location: 320 11th Ave S Ste 204, Nampa, ID 83651 Phone: 208-515-7661 | |
Dr. Curtis Mahan Garner, EDD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 809 Astor Ave, Nampa, ID 83651 Phone: 208-407-4140 | |
Dr. Jack Alban, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 111 Palmer Dr, Nampa, ID 83686 Phone: 208-467-2741 | |
Kimberly Wegener, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9850 W St Lukes Dr Ste 329, Nampa, ID 83687 Phone: 208-514-2509 Fax: 208-375-2217 |