JACKSON LEE HAVERLY M.D.
NPI 1942338785
Psychiatry & Neurology - Psychiatry in Kent, WA

Q: What is Jackson Haverly's NPI number?

The NPI number for Jackson Haverly is 1942338785. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Q: What is Jackson Haverly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Haverly was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 02, 2007

22410 BENSON RD SE, BENSON HEIGHTS REHAB CENTER, KENT, WA 98031(206) 286-8352 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jackson Lee Haverly M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON LEE HAVERLY M.D. (NPI 1942338785) is an individual psychiatry provider in Kent, Washington, licensed in Washington (00030718) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1942338785

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameJACKSON LEE HAVERLYCredential: M.D.

Location Address22410 BENSON RD SE, BENSON HEIGHTS REHAB CENTERKent, WA 98031-9509

Mailing Address10611 Canyon Rd E, Pmb 322Puyallup, WA 98373-4256 · (206) 286-8352

Phone(206) 286-8352

Sole ProprietorYes

Enumeration DateMarch 2, 2007

Last NPPES UpdateJuly 29, 2008

✔ NPI 1942338785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in WA · 00030718

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

22410 BENSON RD SE, Kent, WA 98031

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Other Identifiers 1

Medicare UPINE 51522WA

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AVALON CARE CENTER-KENT LLC

Skilled Nursing Facility

22410 BENSON RD SE
KENT, WA 98031

King County (253) 852-7755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Haverly's NPI number?

The NPI number for Jackson Haverly is 1942338785. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Jackson Haverly located?

Jackson Haverly practices at 22410 Benson Rd SE Benson Heights Rehab Center, Kent, WA 98031. The listed phone number is (206) 286-8352.

What is Jackson Haverly's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Jackson Haverly was last updated on July 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.