IndividualActive
Kim Havenner, PSY.D.
NPI 1972933364 · Clinical Psychologist · Fairfax, VA
Kim Havenner, PSY.D. is a Clinical Psychologist provider in Fairfax, VA (NPI 1972933364).
Provider details
- NPI number
- 1972933364
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0810004884 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
10805 Main St Ste 500
Fairfax, VA 22030-4747
Phone: (703) 283-4153
Street-level locationGet directions
Mailing address
10714 Scott Dr
Fairfax, VA 22030-3023
Registry dates
- Enumerated
- 2013-11-21
- Last updated
- 2013-11-21
Frequently asked questions
- What is Kim Havenner's NPI number?
- Kim Havenner's National Provider Identifier (NPI) is 1972933364, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kim Havenner's specialty?
- Kim Havenner is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Kim Havenner located?
- Kim Havenner's practice location on file with NPPES is 10805 Main St Ste 500, Fairfax, VA 22030-4747.
- What is Kim Havenner's phone number?
- The practice phone number listed in the NPPES registry for Kim Havenner is (703) 283-4153.
- Is Kim Havenner's NPI active?
- Yes — Kim Havenner's NPI (1972933364) is active in the NPPES registry as of the last update on 2013-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.