Active NPI
Cheryl Hetherington, PHD.
- Psychologist
- Iowa City, IA
National Provider Identifier
1245201359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 486
- Practice address
- 123 N Linn St
Suite 2D
Iowa City, IA 52245-2143 - Phone
- (319) 337-9461
- Fax
- (319) 339-8061
- NPI assigned
- Jan 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 486 | IA | Primary |
Addresses
Primary practice location
123 N Linn St
Suite 2D
Iowa City, IA 52245-2143
Mailing address
123 N Linn St
Suite 2D
Iowa City, IA 52245-2143
Phone (319) 337-9461
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 68009314 | Other | IA | RR MEDICARE |
| 322 | Other | IA | HEALTH SERVICE PROVIDER |
| 52714 | Other | IA | WELLMARK PROVIDER NUMBER |
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 |
|---|---|---|---|
| 486 | IA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245201359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 N LINN ST",
"address_2": "SUITE 2D",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522452143",
"telephone_number": "319-337-9461",
"fax_number": "319-339-8061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 N LINN ST",
"address_2": "SUITE 2D",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522452143",
"telephone_number": "319-337-9461",
"fax_number": "319-339-8061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETHERINGTON",
"first_name": "CHERYL",
"name_prefix": "Dr.",
"credential": "PHD.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "IA",
"license": "486",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "68009314",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SERVICE PROVIDER",
"identifier": "322",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK PROVIDER NUMBER",
"identifier": "52714",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.