Individual provider Active NPI

Heidi Marie Vetter, PSY. D.

  • Clinical Psychologist
  • San Dimas, CA
National Provider Identifier
1508198920
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY20915 Issued in CA
Practice address
1900 Sycamore Canyon Rd # Re
San Dimas, CA 91773-1220
Phone
(909) 929-6062
NPI assigned
Feb 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY20915 CA
Clinical Psychologist 103TC0700X PSY20915 CA Primary

Addresses

Primary practice location

1900 Sycamore Canyon Rd # Re
San Dimas, CA 91773-1220

Mailing address

1900 Sycamore Canyon Rd
San Dimas, CA 91773-1220
Phone (909) 273-6353

Other practice location 1

14901 Central Ave
Chino, CA 91710-9500
Phone (909) 273-6353

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Hvetter@dmh.lacounty.gov
Direct Messaging Address Hvetter@dmh.lacounty.gov
Direct Messaging Address Hvetter@dmh.lacounty.gov
Direct Messaging Address Hvetter@dmh.lacounty.gov

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY20915CAMDClinical Psychologist

Interoperability endpoints

  • Direct secure messaging: hvetter@dmh.lacounty.gov

NPI Registry JSON

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

{
    "created_epoch": "1265760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1508198920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SYCAMORE CANYON RD",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731220",
            "telephone_number": "909-273-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SYCAMORE CANYON RD # RE",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731220",
            "telephone_number": "909-929-6062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14901 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "917109500",
            "country_code": "US",
            "telephone_number": "909-273-6353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VETTER",
        "first_name": "HEIDI",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-10",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20915",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY20915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hvetter@dmh.lacounty.gov",
            "affiliation": "N",
            "address_1": "1900 Sycamore Canyon Rd # Re",
            "city": "San Dimas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917731220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hvetter@dmh.lacounty.gov",
            "affiliation": "N",
            "address_1": "1900 Sycamore Canyon Rd # Re",
            "city": "San Dimas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917731220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hvetter@dmh.lacounty.gov",
            "affiliation": "N",
            "address_1": "1900 Sycamore Canyon Rd # Re",
            "city": "San Dimas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917731220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hvetter@dmh.lacounty.gov",
            "affiliation": "N",
            "address_1": "1900 Sycamore Canyon Rd # Re",
            "city": "San Dimas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "917731220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.