Individual provider Active NPI

Adrienne Julie Heinz, PH.D.

  • Clinical Psychologist
  • Healdsburg, CA
National Provider Identifier
1013296433
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26150 Issued in CA
Practice address
141 North St Ste C
Healdsburg, CA 95448-3821
Phone
(415) 656-8210
NPI assigned
Aug 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 26150 CA Primary

Addresses

Primary practice location

141 North St Ste C
Healdsburg, CA 95448-3821

Mailing address

803 Fitch St
Healdsburg, CA 95448-3704
Phone (919) 630-6847

Other practice location 1

870 Market St
Suite 1241
San Francisco, CA 94102-3099
Phone (919) 630-6847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
26150CAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013296433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 FITCH ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483704",
            "telephone_number": "919-630-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 NORTH ST STE C",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483821",
            "telephone_number": "415-656-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "870 Market St",
            "address_2": "Suite 1241",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941023099",
            "country_code": "US",
            "telephone_number": "919-630-6847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "ADRIENNE",
        "middle_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.