Individual provider Active NPI

Jennifer A Heinemann, PH.D.

  • Clinical Psychologist
  • Milwaukee, WI
National Provider Identifier
1770538480
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2333 Issued in WI
Practice address
9200 W Wisconsin Ave
Dept of Psychiatry
Milwaukee, WI 53226-3522
Phone
(414) 805-3666
Fax
(414) 955-6282
NPI assigned
May 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Psychologist 103TH0004X 2333-057 WI
Clinical Psychologist 103TC0700X 2333 WI Primary

Addresses

Primary practice location

9200 W Wisconsin Ave
Dept of Psychiatry
Milwaukee, WI 53226-3522

Mailing address

9200 W Wisconsin Ave
Dept of Psychiatry
Milwaukee, WI 53226-3522
Phone (414) 805-3666

Other identifiers 1

IdentifierTypeStateIssuer
39134400MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20040122000951 WI Practitioner - Clinical Psychologist 3274435003 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Behavioral Solutions IncGroup PAC ID 8820983760, 8 clinicians
BCS Care Solutions, LLCGroup PAC ID 4284982166, 11 clinicians

Practice addresses (Care Compare)

10101 W Wisconsin Ave
Milwaukee, WI 53226-4861
Phone (414) 259-6310

2115 E Woodstock PL
Milwaukee, WI 53202-1342
Phone (414) 271-1020

2717 N Grandview Blvd
Suite 102
Waukesha, WI 53188-1672
Phone (877) 906-9699

3939 S 92ND St
Greenfield, WI 53228-2140
Phone (414) 321-1800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2333-057WIMDHealth Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
BCS Care Solutions, LLC Clinical CurrentSince Oct 18, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Behavioral Solutions, Inc. CurrentSince Jun 15, 2023 Accepting new patients
Health Psychology Associates, S.C. Past Accepting new patients
Mind Matters Psychological Services, S.C. Clinical PastSince Jan 1, 2025 Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2115 E Woodstock Pl
Milwaukee, WI 53202
Phone (414) 271-1020

950 N 12th St
Milwaukee, WI 53233
Phone (414) 219-6036

2717 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 513-0700

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1770538480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-3666",
            "fax_number": "414-955-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 W WISCONSIN AVE",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532263522",
            "telephone_number": "414-805-3666",
            "fax_number": "414-955-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINEMANN",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "WI",
            "license": "2333-057",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WI",
            "license": "2333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39134400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.