Individual provider Active NPI

Wendy Heath-Gainer, PH.D.

  • Psychologist
  • Dunwoody, GA
National Provider Identifier
1245635879
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY003827 Issued in GA
Practice address
1864 Independance SQ Ste a
Atlanta Network for Individual and Family Therapy
Dunwoody, GA 30338
Phone
(770) 668-0350
Fax
(770) 668-0417
NPI assigned
Oct 24, 2014
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY003827 GA Primary

Addresses

Primary practice location

1864 Independance SQ Ste a
Atlanta Network for Individual and Family Therapy
Dunwoody, GA 30338

Mailing address

1864 Independance SQ Ste a
Atlanta Network for Individual and Family Therapy
Dunwoody, GA 30338
Phone (770) 668-0350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160726001945 GA Practitioner - Psychologist Billing Independently 3476846684 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1864 Independence SQ
Suite a
Dunwoody, GA 30338-5160
Phone (770) 668-0350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Network for Individual and Family Therapy Psychologist CurrentSince Apr 23, 2016 Accepting new patients
WHG Psychological Services LLC CurrentSince Oct 18, 2021 Accepting new patients

Locations

1864 Independence Sq
Ste A
Dunwoody, GA 30338
Phone (770) 668-0350

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1245635879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1864 INDEPENDANCE SQ STE A",
            "address_2": "ATLANTA NETWORK FOR INDIVIDUAL AND FAMILY THERAPY",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-668-0350",
            "fax_number": "770-668-0417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1864 INDEPENDANCE SQ STE A",
            "address_2": "ATLANTA NETWORK FOR INDIVIDUAL AND FAMILY THERAPY",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-668-0350",
            "fax_number": "770-668-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH-GAINER",
        "first_name": "WENDY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.