Joel R. Heerboth, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1106 Issued in AZ

Practice address

268 E River Rd
Suite 160
Tucson, AZ 85704-5842

Phone

(520) 293-1673

Fax

(520) 615-0355

NPI assigned

Aug 5, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1093724379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 E RIVER RD",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045842",
            "telephone_number": "520-293-1673",
            "fax_number": "520-615-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 E RIVER RD",
            "address_2": "SUITE 160",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045842",
            "telephone_number": "520-293-1673",
            "fax_number": "520-615-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERBOTH",
        "first_name": "JOEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "1106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hedrick House Inc.
• Elizabeth Hedrick
• Naomi Shae Hedrick, HEARING AID DISPENSE
• Darren P Hee, MD
• Jill Heerboth, M.S.
• Matthew Heeren
• Patricia Jean Heese, OTR
• Donald Gene Heffelmire, R.PH.
• Carly Heft, CSFA
• Rebecca Hegarty, NP-C

• Clinical Psychologist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.