Organization Active NPI

Heatland Psychology LLC

  • Psychologist
  • Ionia, MI
National Provider Identifier
1538650981
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301009002 Issued in MI
Legal business name
HEATLAND PSYCHOLOGY LLC
Practice address
524 W Main St
Ionia, MI 48846
Phone
(616) 522-7183
Fax
(616) 523-9031
NPI assigned
May 22, 2018
Last updated
Aug 22, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Kathleen Smith
Title
Owner
Phone
(616) 523-9033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301009002 MI Primary

Addresses

Primary practice location

524 W Main St
Ionia, MI 48846

Mailing address

524 W Main St
Ionia, MI 48846-1536
Phone (616) 523-9033

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1538650981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W MAIN ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488461536",
            "telephone_number": "616-523-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W MAIN ST",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "48846",
            "telephone_number": "616-522-7183",
            "fax_number": "616-523-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATLAND PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-523-9033"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.