Active NPI
Jennifer A Heinemann, PH.D.
- Clinical Psychologist
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2333
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39134400 | Medicaid | WY |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2333-057 | WI | MD | Health Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BCS Care Solutions, LLC | Clinical | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Behavioral Solutions, Inc. | Current | Accepting new patients | |
| Health Psychology Associates, S.C. | Past | Accepting new patients | |
| Mind Matters Psychological Services, S.C. | Clinical | Past | 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.
-
- Nurse Practitioner
- Milwaukee, WI
- NPI 1174633119
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Social Worker
- Glendale, WI
- NPI 1689770497
-
- Clinical Psychologist
- Mequon, WI
- NPI 1891516472
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.