Individual provider Active NPI

Heather Sassman, PHD

  • Clinical Psychologist
  • Belleville, IL
National Provider Identifier
1346734951
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071021005 Issued in IL
Practice address
144 Lincoln Place CT Ste 3
Belleville, IL 62221-5878
Phone
(618) 671-9283
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 06219 MD
Clinical Psychologist 103TC0700X 2021036324 MO
Clinical Psychologist 103TC0700X 071021005 IL Primary

Addresses

Primary practice location

144 Lincoln Place CT Ste 3
Belleville, IL 62221-5878

Mailing address

144 Lincoln Place CT Ste 3
Belleville, IL 62221-5878
Phone (618) 671-9283

Other practice location 1

12680 Olive Blvd Ste 200
Saint Louis, MO 63141-6322
Phone (314) 872-3345

Other names 1

  • Heather Whipple Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20211006001067 MO Order and Referring Only - Clinical Psychologist 3274931217

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071021005ILMDClinical Psychologist
2021036324MOMDClinical Psychologist
06219MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wildflower Behavioral Health Services, LLC CurrentSince Jun 29, 2025 Accepting new patients

Locations

144 Lincoln Place Ct
Ste 3
Belleville, IL 62221
Phone (618) 671-9283

Organizations & group practices 1

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1346734951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 LINCOLN PLACE CT STE 3",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215878",
            "telephone_number": "618-671-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LINCOLN PLACE CT STE 3",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215878",
            "telephone_number": "618-671-9283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12680 Olive Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631416322",
            "country_code": "US",
            "telephone_number": "314-872-3345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SASSMAN",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06219",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2021036324",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071021005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "WHIPPLE",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

Verify at the official NPI Registry.