Individual provider Active NPI

Sara E Heinemann, PSYD

  • Psychologist
  • Santa Clarita, CA
National Provider Identifier
1235698689
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
17702 Sierra Hwy
Santa Clarita, CA 91351-1635
Phone
(888) 770-5222
NPI assigned
Mar 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 006003 AZ
Psychologist 103T00000X CA Primary

Addresses

Primary practice location

17702 Sierra Hwy
Santa Clarita, CA 91351-1635

Mailing address

17702 Sierra Hwy
17702 Sierra Hwy
Santa Clarita, CA 91351-1635
Phone (760) 288-1165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260123003536 AZ Practitioner - Clinical Psychologist 2163915620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17702 Sierra Hwy
Santa Clarita, CA 91351

17702 Sierra Hwy
Santa Clarita, CA 91351-1635

8010 E Morgan TRL
Suite 11B
Scottsdale, AZ 85258-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006003AZMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Benevolent Mental Health Services CurrentSince Dec 15, 2025 Accepting new patients
Pure Autism Counseling Center Inc PastSince Oct 22, 2022 Accepting new patients
Amanecer Community Counseling Service, a Non-Profit Corporation PastSince Dec 3, 2022 Accepting new patients

Locations

8010 E Morgan Trl
Ste 11B
Scottsdale, AZ 85258
Phone (888) 770-5222

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19641/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1235698689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17702 SIERRA HWY",
            "address_2": "17702 SIERRA HWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511635",
            "telephone_number": "760-288-1165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17702 SIERRA HWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511635",
            "telephone_number": "888-770-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMANN",
        "first_name": "SARA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-15",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AZ",
            "license": "006003",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.