IndividualActive
Jackson Haverly, M.D.
NPI 1942338785 · Psychiatry Physician · Kent, WA
Jackson Haverly, M.D. is a Psychiatry Physician provider in Kent, WA (NPI 1942338785).
Provider details
- NPI number
- 1942338785
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00030718 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(89/100 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
22410 Benson Rd Se
Benson Heights Rehab Center
Kent, WA 98031-9509
Phone: (206) 286-8352
Street-level locationGet directions
Mailing address
10611 Canyon Rd E
Puyallup, WA 98373-4256
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2008-07-29
Frequently asked questions
- What is Jackson Haverly's NPI number?
- Jackson Haverly's National Provider Identifier (NPI) is 1942338785, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Haverly's specialty?
- Jackson Haverly is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Haverly located?
- Jackson Haverly's practice location on file with NPPES is 22410 Benson Rd Se, Kent, WA 98031-9509.
- What is Jackson Haverly's phone number?
- The practice phone number listed in the NPPES registry for Jackson Haverly is (206) 286-8352.
- Is Jackson Haverly's NPI active?
- Yes — Jackson Haverly's NPI (1942338785) is active in the NPPES registry as of the last update on 2008-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.