Matthew C Heimark, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMB94123 Issued in CA

Practice address

250 Executive Park Blvd
4900
San Francisco, CA 94134-3394

Phone

(415) 314-3253

NPI assigned

Aug 29, 2016

Sex

Male

Sole proprietor

Yes

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": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1760938880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 SACRAMENTO ST",
            "address_2": "227",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181914",
            "telephone_number": "415-314-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 EXECUTIVE PARK BLVD",
            "address_2": "4900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941343394",
            "telephone_number": "415-314-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMARK",
        "first_name": "MATTHEW",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMB94123",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMB94123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Wittenberg, MD Inc
• Keith William Heier
• Kendra Rose Heiken
• Nancy Heilner, MSW
• Paul Heim, MD
• Zachary Carl Heimbuck
• Lance David Hein, PA-C
• Michael Preston Heinbach, AGACNP-BC, ACCNS-AG
• Paul A. Heineken, M.D.
• Toni Heineman, DMH

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.