Jack Heinowitz, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY6099 Issued in CA

Practice address

4026 Hawk St Ste B
San Diego, CA 92103-1862

Phone

(619) 692-4038

Fax

(619) 234-7272

NPI assigned

Aug 30, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770693186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 HAWK ST STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031862",
            "telephone_number": "619-692-4038",
            "fax_number": "619-234-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 HAWK ST STE B",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031862",
            "telephone_number": "619-692-4038",
            "fax_number": "619-234-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINOWITZ",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY6099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Heininger
• Andrew T. Heinle, M.D.
• Erin C. Heinle, M.D.
• Rachel Elizabeth Heinle
• Catherine R Heinlein, R.D.
• Gordon D Heinrichs, DC
• Alyssa Renee Heintschel
• Betsy Heintz, C.M.T.
• Philip Hamilton Heintz, D.D.S
• Elizabeth Heinz

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• 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.