Willa Jean Heinrich, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY000904 Issued in GA

Practice address

688 Willoughby Way NE
Atlanta, GA 30312-1113

Phone

(404) 659-5945

NPI assigned

May 18, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ameripartner Inc.

  • Clinical Psychologist
  • Dalton, GA
  • NPI 1023067626
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467405530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "688 WILLOUGHBY WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121113",
            "telephone_number": "404-659-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "688 WILLOUGHBY WAY NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121113",
            "telephone_number": "404-659-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "WILLA",
        "middle_name": "JEAN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY000904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clay Heilpern, D.M.D.
• Katherine L Heilpern, MD
• Lisa Heimann, PH.D.
• Olivia Lynn Heinle, PA-S
• James Heinlein, PA-C
• Morgan Michelle Heinzelmann-Weisbaum, MD
• Kurt Frederick Heiss, MD
• Siamak Hejabian, MD
• Carl Heldman, PT
• Helen G. Jenne, Psy.D., LLC

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.