Patti O Hedderly, MS

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

C8512105 Issued in CA

Practice address

303 Water St
Suite 9
Santa Cruz, CA 95060-4017

Phone

(831) 454-2150

NPI assigned

Oct 7, 2011

Sex

Female

Sole proprietor

No

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)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1317945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317945600000",
    "number": "1659655637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WATER ST",
            "address_2": "SUITE 9",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604017",
            "telephone_number": "831-454-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 WATER ST",
            "address_2": "SUITE 9",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604017",
            "telephone_number": "831-454-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDDERLY",
        "first_name": "PATTI",
        "middle_name": "O",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-07",
        "last_updated": "2011-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C8512105",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "ZZ",
            "license": "70486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecily Ryan Heath, CMT
• Tonia Heath, LCSW
• Amy Kristine Lamb Heckel
• Tara Hedayati
• Kristin Hedberg, L.AC.
• Jake Anthony Hedrick, DC
• John Anthony Hedrick, DDS, MS
• Jasreen Kaur Heer, DPT
• Tracey Lorraine Heggum
• William Bradford Heil, PHD

• Addiction (Substance Use Disorder) Counselor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.