Kenneth E Heinrichs, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071006063 Issued in IL

Practice address

755 E. McArdle Drive
Suite E
Crystal Lake, IL 60014-1717

Phone

(815) 342-7181

Fax

(815) 344-9795

NPI assigned

Sep 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Aspen Behavioral Care

  • Psychologist
  • Arlington HTS, IL
  • NPI 1093761439

  Clinical

  NPD (past)

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291939200000",
    "number": "1467556589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E MCARDLE DR",
            "address_2": "SUITE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141717",
            "telephone_number": "815-342-7181",
            "fax_number": "815-344-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E. MCARDLE DRIVE",
            "address_2": "SUITE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600141717",
            "telephone_number": "815-342-7181",
            "fax_number": "815-344-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINRICHS",
        "first_name": "KENNETH",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-11",
        "last_updated": "2010-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006063",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2384057",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cameron Hays, MD
• Health Exp
• Healthy by Emily PLLC
• Cathy Carol Heavey, PTA
• Sarah E Hehemann, DNP
• Amanda M Helbling, MPT
• Help 4 Little Hands, LLC
• Helpever Corporation
• Alexander J Hembrey, PA-C
• Virginia B Hemelt, MD

• Clinical Psychologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.