Individual provider Active NPI

Heather Mastrianno, PSYD

  • Psychologist
  • New Braunfels, TX
National Provider Identifier
1356789234
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36336 Issued in TX
Practice address
645 N Walnut Ave
New Braunfels, TX 78130-7925
Phone
(830) 730-6090
NPI assigned
Jun 12, 2013
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36336 TX Primary

Addresses

Primary practice location

645 N Walnut Ave
New Braunfels, TX 78130-7925

Mailing address

645 N Walnut Ave
New Braunfels, TX 78130-7925

Other practice location 1

2003 Medical Pkwy Ste C
San Marcos, TX 78666-7554
Phone (830) 730-6090

Other names 1

  • Heather Ingram Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20140131000968 TX Practitioner - Clinical Psychologist 8729217369 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

645 N Walnut Ave
New Braunfels, TX 78130-7925
Phone (830) 730-6090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36336TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Inmindout Emotional Wellness Center, LLC Psychologist CurrentSince Oct 1, 2013 Accepting new patients

Locations

645 N Walnut Ave
New Braunfels, TX 78130
Phone (830) 306-0907

21252 Gathering Oak
Ste 150
San Antonio, TX 78260

9846 Lorene Ln
San Antonio, TX 78216
Phone (210) 340-0049

2003 Medical Pkwy
Ste C
San Marcos, TX 78666
Phone (512) 643-5440

1996 Schertz Pkwy
Ste 202
Schertz, TX 78154
Phone (830) 832-9266

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, 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": "1370995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1356789234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 N WALNUT AVE",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781307925",
            "telephone_number": "830-730-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Medical Pkwy Ste C",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "TX",
            "postal_code": "786667554",
            "country_code": "US",
            "telephone_number": "830-730-6090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASTRIANNO",
        "first_name": "HEATHER",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-12",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "INGRAM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

Verify at the official NPI Registry.