Peter P Heinbecker, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

1713271205 Issued in UT

Practice address

1300 E Center St
Provo, UT 84606-3554

Phone

(801) 344-4102

Fax

(801) 344-4215

NPI assigned

Jun 18, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• State of Montana

  • Skilled Nursing Facility
  • Columbia Falls, MT
  • NPI 1356351183
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1417992934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846030270",
            "telephone_number": "801-344-4102",
            "fax_number": "801-344-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E CENTER ST",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846063554",
            "telephone_number": "801-344-4102",
            "fax_number": "801-344-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINBECKER",
        "first_name": "PETER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "1713271205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "876000545046",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wayne R Heaton, APRN
• Crystal A. Heer, L.P.C.
• Madelaine Marie Heideman
• Sydnie Heidenreich, MSN, APRN, FNP-C
• Tina Tyre Heil
• Candise Michelle Heiner
• Dalton Heinricks
• Samantha Heley
• Cassie L Helferich
• Jaci Brien Helgeson

• Psychiatry Physician in Provo, UT
• Providers in Provo, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.