IndividualActive
Judy Haefner
NPI 1104977495 · Psychiatric/Mental Health Nurse Practitioner · Clinton Township, MI
Provider details
- NPI number
- 1104977495
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4704210354 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
38242 Sarnette St
Clinton Township, MI 48036-4038
Phone: (586) 954-9042
Street-level locationGet directions
Mailing address
38252 Sarnette
Clinton Township, MI 48036
Registry dates
- Enumerated
- 2007-01-15
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.