Active NPI
Carol Heukrodt Hekman, PH.D., PSY.D.
- Psychoanalysis Psychologist
- Pasadena, CA
National Provider Identifier
1487750600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- PSY9791
- Practice address
- 1141 Arden Rd
Pasadena, CA 91106-4143 - Phone
- (626) 796-6672
- Fax
- (626) 683-9534
- NPI assigned
- Sep 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | PSY9791 | CA | Primary |
Addresses
Primary practice location
1141 Arden Rd
Pasadena, CA 91106-4143
Mailing address
1141 Arden Rd
Pasadena, CA 91106-4143
Phone (626) 796-6672
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 20, 2014 through Feb 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY9791 | CA | MD | Psychoanalysis Psychologist |
| 9791 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1487750600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 ARDEN RD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911064143",
"telephone_number": "626-796-6672",
"fax_number": "626-683-9534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 ARDEN RD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911064143",
"telephone_number": "626-796-6672",
"fax_number": "626-683-9534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEKMAN",
"first_name": "CAROL",
"middle_name": "HEUKRODT",
"name_prefix": "Dr.",
"credential": "PH.D., PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-15",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "CA",
"license": "PSY9791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.