Active NPI
Heidi Galvez
- Psychologist
- Jackson, CA
National Provider Identifier
1821403650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 217 Rex Ave
Jackson, CA 95642-2020 - Phone
- (209) 304-9453
- NPI assigned
- Jul 1, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
217 Rex Ave
Jackson, CA 95642-2020
Mailing address
217 Rex Ave
Jackson, CA 95642-2020
Phone (650) 799-2130
Other practice location 1
4001 Hwy 104
Ione, CA 95640
Phone (209) 274-4911 ext. 6015
Other practice location 2
2501 W Shaw Ave Ste 103
Fresno, CA 93711-3307
Phone (559) 221-1680
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| JDT Consultants | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Fresno, CA
- NPI 1437289881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1821403650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 REX AVE",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422020",
"telephone_number": "650-799-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 REX AVE",
"city": "JACKSON",
"state": "CA",
"postal_code": "956422020",
"telephone_number": "209-304-9453"
}
],
"practiceLocations": [
{
"address_1": "4001 Hwy 104",
"address_purpose": "LOCATION",
"city": "Ione",
"state": "CA",
"postal_code": "95640",
"country_code": "US",
"telephone_number": "209-274-4911 x6015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 W Shaw Ave Ste 103",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937113307",
"country_code": "US",
"telephone_number": "559-221-1680",
"fax_number": "559-221-4336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALVEZ",
"first_name": "HEIDI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-01",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.