Heidi Y. Kwan PHD Psychologist PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

HEIDI Y. KWAN PHD PSYCHOLOGIST PC

Practice address

3585 Maple St Ste 255
Ventura, CA 93003-9147

Phone

(805) 650-0657

NPI assigned

Jul 13, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Heidi Kwan, PHDNPI 1649382680

Title

Psychologist/President

Phone

(805) 415-8468

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heidi Y Kwan, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Ventura, CA
  • NPI 1649382680
  Medicare reassignment NPD Authorized official
• Victoria Marlene Orloff Tilton, MSW,LCSW

  • Clinical Social Worker
  • Ventura, CA
  • NPI 1598063968
  NPD (past)
• Laura Lynn Shore, MSW LCSW

  • Clinical Social Worker
  • Ventura, CA
  • NPI 1831221027
  NPD (past)

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

{
    "created_epoch": "1720828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720828800000",
    "number": "1104663384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 255",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039147",
            "telephone_number": "805-650-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 255",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039147",
            "telephone_number": "805-650-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI Y. KWAN PHD PSYCHOLOGIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-13",
        "last_updated": "2024-07-13",
        "certification_date": "2024-07-13",
        "status": "A",
        "authorized_official_last_name": "KWAN",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "805-415-8468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart Strings Psychological Corporation
• Erika Jelena Heckman, WHNP, CNM
• Carly Hedegard
• Marion Hedges-Domenicucci, LCSW
• Daniel T. Hefelfinger, PH.D. , D.D.S.
• Heidi'S House of Hope
• Benjamin James Heilveil, LMFT
• Julie Diane Woodburn Hein
• Gabriella Ann Heitmann, DO
• Lyndsay Heitmann

• Clinical Psychologist in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.