Heidi Hengstenberg Stoddard, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3-1063 Issued in TX

Practice address

100 Allentown Pkwy
Suite 114
Allen, TX 75002-4200

Phone

(972) 359-1077

Fax

(972) 359-8236

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr Heidi H Stoddard & Associates

  • Clinical Psychologist
  • Allen, TX
  • NPI 1922423805
  NPD (past) Authorized official

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760521249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ALLENTOWN PKWY",
            "address_2": "SUITE 114",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024200",
            "telephone_number": "972-359-1077",
            "fax_number": "972-359-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ALLENTOWN PKWY",
            "address_2": "SUITE 114",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750024200",
            "telephone_number": "972-359-1077",
            "fax_number": "972-359-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD",
        "first_name": "HEIDI",
        "middle_name": "HENGSTENBERG",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "3-1063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS &BLUE SHIELD",
            "identifier": "0089JN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacey Stephens, MED, LPC
• Sterling Oasis Cedc (Lighthouse)
• Kaiden Andrew Derrick Sterling
• Steven Don-Robert Stewart, LVN
• Janis Roscoe Stillings
• Rachel Lauren Stoffregen, DPT
• Marc Austin Stoneburner
• STR8 Up Wellness
• Camille Renae Strause, RDN, LD
• Shea Lynne Straw

• Clinical Psychologist in Allen, TX
• Providers in Allen, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.