Margaret M Heffernan, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

267EUW Issued in WI

Practice address

927 S 8TH St
Ste 307a
Manitowoc, WI 54220-4542

Phone

(920) 683-2090

NPI assigned

Aug 1, 2006

Sex

Female

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 Philosophy

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1427064922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W GLEN OAKS LN",
            "address_2": "SUITE 170",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530923365",
            "telephone_number": "414-365-3210",
            "fax_number": "414-365-2937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 S 8TH ST",
            "address_2": "STE 307A",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204542",
            "telephone_number": "920-683-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "MARGARET",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "267EUW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39146900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Martin Hartenian, DMD
• Amanda Hartwig, LPC
• Angela Hastreiter, D.C.
• Kaylee Lynn Hawks, FNP-C
• Edith Ann Headrick, R.N.
• Heather Marie Heiberger, PA-C
• Rosemary A Heideman
• Jamie Heiman, DC
• Joshua James Heimerl, D.C.
• Mark Robert Heintzkill, DC

• Clinical Psychologist in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Clinical Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.