Allan James Heritage II, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3499 Issued in TN

Practice address

104 Eastpark Dr Ste 208
Brentwood, TN 37027-7535

Phone

(615) 370-4977

NPI assigned

Sep 20, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316456551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EASTPARK DR STE 208",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277535",
            "telephone_number": "615-370-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 EASTPARK DR STE 208",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277535",
            "telephone_number": "615-370-4977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 17th Ave S",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372122804",
            "country_code": "US",
            "telephone_number": "615-200-7916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERITAGE",
        "first_name": "ALLAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TN",
            "license": "3499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody D Henson
• Piper L Henson
• Jonathan David Herberich, D.D.S.
• Herbertrx, PLLC
• Heritage Retirement Facilities LLC
• Hermitage Eye Care PLLC
• Hermitage Eye Care PLLC
• David Hernandez Alvarez, CSA
• Erick R Hernandez-Campos, DNP
• Carlos Alberto Hernandez

• Clinical Psychologist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Clinical Psychologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.