Organization Active NPI

Heinz Psychological Services LTD SC

  • Counseling Psychologist
  • Eau Claire, WI
National Provider Identifier
1679671887
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
Legal business name
HEINZ PSYCHOLOGICAL SERVICES LTD SC
Practice address
826 S Hastings Way
Eau Claire, WI 54701-3426
Phone
(715) 834-3171
Fax
(715) 834-3174
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Harlan R Heinz, PHDNPI 1992896302
Title
Owner
Phone
(715) 834-3171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X Primary

Addresses

Primary practice location

826 S Hastings Way
Eau Claire, WI 54701-3426

Mailing address

826 S Hastings Way
Eau Claire, WI 54701-3426
Phone (715) 834-3171

Other identifiers 1

IdentifierTypeStateIssuer
42156200MedicaidWI

National Provider Directory

National Provider Directory

Locations

2130 HTS Dr
Eau Claire, WI 54701
Phone (715) 834-3171

2130 HTS Dr
Eau Claire, WI 54701
Phone (715) 834-3171

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679671887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 S HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013426",
            "telephone_number": "715-834-3171",
            "fax_number": "715-834-3174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 S HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013426",
            "telephone_number": "715-834-3171",
            "fax_number": "715-834-3174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINZ PSYCHOLOGICAL SERVICES LTD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEINZ",
        "authorized_official_first_name": "HARLAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-834-3171",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42156200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

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