Heidi Y Kwan, PH.D.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY15019 Issued in CA

Practice address

3585 Maple St
Ste 255
Ventura, CA 93003-9147

Phone

(805) 650-0657

Fax

(805) 654-1098

NPI assigned

Aug 31, 2006

Last updated

Jun 23, 2020By 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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Heidi Y. Kwan PHD Psychologist PC

  • Clinical Psychologist
  • Ventura, CA
  • NPI 1104663384

  Clinical Child & Adolescent

  Medicare reassignment NPD Authorized official
• Patrick and Margaret Barker

  • Clinical Psychologist
  • Ventura, CA
  • NPI 1902075013
  NPD (past)
• Randy Wood PHD

  • Clinical Psychologist
  • Ventura, CA
  • NPI 1487988655
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1649382680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST",
            "address_2": "STE 255",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039147",
            "telephone_number": "805-650-0657",
            "fax_number": "805-654-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST",
            "address_2": "STE 255",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039147",
            "telephone_number": "805-650-0657",
            "fax_number": "805-654-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAN",
        "first_name": "HEIDI",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY15019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Kunz, P.T., A.T.,C
• Sasha Kupfer, ABAT
• Julie Kurowski, PTA
• Jordan Kuzma
• Suzanna Kwak, DO
• Margo Kwiatkowski, PT, DPT, CSCS
• Benjamin Kwittken, M.D.
• Meeae Y Kwon, MD
• Kira La Mer
• Chelsea Noelle La Rosa, RN

• Clinical Child & Adolescent Psychologist in Ventura, CA
• Providers in Ventura, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.