Gwenn K. Heintzelman, PH.D.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

SP372 Issued in OH

Practice address

8050 Hosbrook Rd
Suite 402
Cincinnati, OH 45236-2994

Phone

(513) 794-0083

Fax

(513) 792-3652

NPI assigned

Jan 11, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonathan Small,M.D., Inc.

  • Psychiatry Physician
  • Cincinnati, OH
  • NPI 1083795272
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053461038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 HOSBROOK RD",
            "address_2": "SUITE 402",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362994",
            "telephone_number": "513-794-0083",
            "fax_number": "513-792-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 HOSBROOK RD",
            "address_2": "SUITE 402",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452362994",
            "telephone_number": "513-794-0083",
            "fax_number": "513-792-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINTZELMAN",
        "first_name": "GWENN",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Heink, CNP
• Jordan A Heinold, DPT
• Rebecca Jane Heinrich
• Sarah Heinrich, LMT
• Erica Heintz, LSW, MSW
• Mark E. Heintzelman, PH.D.
• Shaun Heinzeroth, PTA
• Peggy Ann Heis, MD
• Stephen D Heis, MD
• James Irving Heisel, LISW LICDC

• School Psychologist in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.