Active NPI
Sarah Marie Heavin, PHD
- Psychologist
- Lakewood, WA
National Provider Identifier
1851618185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 8805 Steilacoom Blvd SW
Lakewood, WA 98498-4770 - Phone
- (801) 633-3187
- NPI assigned
- Apr 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
8805 Steilacoom Blvd SW
Lakewood, WA 98498-4770
Mailing address
620 N K St
Tacoma, WA 98403-1714
Phone (801) 633-3187
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
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1851618185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 N K ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984031714",
"telephone_number": "801-633-3187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8805 STEILACOOM BLVD SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984984770",
"telephone_number": "801-633-3187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAVIN",
"first_name": "SARAH",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.