V Christian Hedegard, MA

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PS-006263-L Issued in PA

Practice address

2201 Ridgewood Rd Ste 400
Wyomissing, PA 19610-1193

Phone

(610) 378-9601

Fax

(610) 378-9061

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• DGR Management Inc.

  • Specialist
  • Wyomissing, PA
  • NPI 1194893305
  NPD
• Optum Behavioral Care of Delaware, Inc

  dba Family Counseling Associates of New Hampshire

  • Counseling Psychologist
  • Nashua, NH
  • NPI 1043083595
  NPD (past)

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1811980063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CEDAR RUN DR",
            "city": "DOUGLASSVILLE",
            "state": "PA",
            "postal_code": "195188707",
            "telephone_number": "610-468-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 RIDGEWOOD RD STE 400",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101193",
            "telephone_number": "610-378-9601",
            "fax_number": "610-378-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDEGARD",
        "first_name": "V",
        "middle_name": "CHRISTIAN",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS-006263-L",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "PA",
            "license": "PS-006263-L",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "PA",
            "license": "PS-006263-L",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "PA",
            "license": "PS-006263-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED PSYCHOLOGIST",
            "identifier": "PS-006263-L",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009647800007",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11260858",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandi Rae Hayward, MS OTR/L
• Hearthfire Psychology, PLLC
• Alan W Heckman, PA
• Irene Beth Heckman, LCSW
• Jaimie Lynn Heckman, CRNP
• Cassandra Lee Heenan
• Lindsey Heere
• J Michael Heffernan, MD
• Elizabeth Heffner, M.ED, LPC
• Emily Heffner, PA-C

• Clinical Child & Adolescent Psychologist in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Clinical Child & Adolescent Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.