Individual provider Active NPI

Heather Lewis Quagliana, PHD

  • Psychologist
  • Cleveland, TN
National Provider Identifier
1144007634
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2898 Issued in TN
Practice address
1060 Peerless Xing NW Ste 100
Cleveland, TN 37312-3785
Phone
(626) 399-5382
NPI assigned
Sep 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2898 TN Primary

Addresses

Primary practice location

1060 Peerless Xing NW Ste 100
Cleveland, TN 37312-3785

Mailing address

3954 Willow Bend TRL NW
Cleveland, TN 37312-1839
Phone (626) 399-5382

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

NPI Registry JSON

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1144007634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3954 WILLOW BEND TRL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373121839",
            "telephone_number": "626-399-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 PEERLESS XING NW STE 100",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123785",
            "telephone_number": "626-399-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAGLIANA",
        "first_name": "HEATHER",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.