Active NPI
Bernadette Heckman, PH.D.
- Clinical Psychologist
- Athens, GA
National Provider Identifier
1225446008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY003750
- Practice address
- 1160 S Milledge Ave
Suite 240
Athens, GA 30605-1350 - Phone
- (740) 707-6130
- NPI assigned
- Jul 24, 2014
- Last updated
- Jul 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY003750 | GA | Primary |
Addresses
Primary practice location
1160 S Milledge Ave
Suite 240
Athens, GA 30605-1350
Mailing address
1010 Oaklake TRL
Watkinsville, GA 30677-5967
Phone (740) 707-6130
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY003750 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406160000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406160000000",
"number": "1225446008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 OAKLAKE TRL",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306775967",
"telephone_number": "740-707-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 S MILLEDGE AVE",
"address_2": "SUITE 240",
"city": "ATHENS",
"state": "GA",
"postal_code": "306051350",
"telephone_number": "740-707-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECKMAN",
"first_name": "BERNADETTE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-24",
"last_updated": "2014-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY003750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.