Andrew Jon Heritch, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

036-104460 Issued in IL

Practice address

5901 N Prospect Rd Ste 201a
Peoria, IL 61614-4346

Phone

(630) 428-7890

Fax

(630) 428-7891

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Saint Louis University School of Medicine, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.andrewheritch@146897.advancedmd-direct.com

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.

• Edgewood Clinical Services, P.C.

  • Psychologist
  • Naperville, IL
  • NPI 1295914646
  Medicare reassignment Care Compare group NPD
• Heartland Behavioral Health SC

  • Counselor
  • Peoria, IL
  • NPI 1225120421

  Psychiatry

  Medicare reassignment NPD Authorized official
• Associates in Mental Health, SC

  • Clinical Social Worker
  • Peoria, IL
  • NPI 1891856795

  Psychiatry

  NPD (past)
• Edgewood Clinical Services, P.C.

  • Community/Behavioral Health Agency
  • Naperville, IL
  • NPI 1366784837
  NPD (past)
• Psychology Specialists LTD

  • Clinical Psychologist
  • Bloomington, IL
  • NPI 1053368605
  NPD (past)
• Psychology Specialists LTD

  • Clinical Psychologist
  • Las Vegas, NV
  • NPI 1003473448
  NPD (past)
• Sheboygan Healing Arts SC

  • Point of Service
  • Sheboygan, WI
  • NPI 1376748657
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1407948607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N PROSPECT RD STE 201A",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144346",
            "telephone_number": "630-428-7890",
            "fax_number": "630-428-7891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3116 N Dries Ln",
            "address_2": "#201",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "61604",
            "country_code": "US",
            "telephone_number": "309-686-1147",
            "fax_number": "309-686-1185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 S ELDORADO RD STE 300",
            "address_purpose": "LOCATION",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617046009",
            "country_code": "US",
            "telephone_number": "630-428-7890",
            "fax_number": "630-428-7891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERITCH",
        "first_name": "ANDREW",
        "middle_name": "JON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036-104460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Hensold
• Grace Elizabeth Hensold, RDN, LDN
• Samantha Henson
• Bryan Heppe, CRNA
• Emoke Antoinette Hergart, PHARMD
• Josephine Ann Hermann, PA-C
• Felipe Alberto Hernandez, MD
• Javier Hernandez Jr., DO
• Jose M Hernandez, M.D.
• James M Herr, LCSW

• Psychiatry Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.