Active NPI
Sara E Heinemann, PSYD
- Psychologist
- Santa Clarita, CA
National Provider Identifier
1235698689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006003 | AZ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benevolent Mental Health Services | Current | Accepting new patients | |
| Pure Autism Counseling Center Inc | Past | Accepting new patients | |
| Amanecer Community Counseling Service, a Non-Profit Corporation | Past | Accepting new patients |
Locations
8010 E Morgan Trl
Ste 11B
Scottsdale, AZ 85258
Phone (888) 770-5222
Interoperability endpoints
- 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Scottsdale, AZ
- NPI 1528742152
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1053449900
-
- Community/Behavioral Health Agency
- Santa Clarita, CA
- NPI 1649737735
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.