Individual provider Active NPI

Heather Maureen Lewerenz, M.D.

  • Psychiatry Physician
  • Saint Helena, CA
National Provider Identifier
1891902698
Registry record updated Feb 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C144761 Issued in CA
Practice address
10 Woodland Rd
Saint Helena, CA 94574-9554
Phone
(707) 963-6270
NPI assigned
May 17, 2007
Last updated
Feb 1, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 221792 NY
Psychiatry Physician 2084P0800X C144761 CA Primary

Addresses

Primary practice location

10 Woodland Rd
Saint Helena, CA 94574-9554

Mailing address

10 Woodland Rd
Saint Helena, CA 94574-9554
Phone (707) 963-6270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170215001558 CA Practitioner - Psychiatry 9335439082 Reassigns benefits to 3 organizations
I20230807000086 PA Practitioner - Psychiatry 9335439082 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C144761CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Humboldt CurrentSince Aug 30, 2017 Accepting new patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince May 21, 2018 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Jun 24, 2023 Accepting new patients
Geisinger Clinic CurrentSince Jun 24, 2023 Accepting new patients
County of Humboldt CurrentSince Aug 30, 2017 Accepting new patients
St. Helena Hospital CurrentSince Apr 1, 2023 Accepting new patients
St. Helena Hospital CurrentSince Apr 1, 2023 Accepting new patients
County of Humboldt Current Accepting new patients
Glenmaura Holdings, LLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

720 Wood St
Eureka, CA 95501
Phone (707) 268-2900

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821

10 Woodland Rd
Ste 502
Saint Helena, CA 94574
Phone (707) 963-1882

6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294

821 Saint Helena Hwy S
#208
Saint Helena, CA 94574

999 Adams St
Ste 106
Saint Helena, CA 94574
Phone (707) 963-4997

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

100 N Academy Ave
Danville, PA 17822

60 Glenmaura National Blvd
Moosic, PA 18507
Phone (570) 301-5000

1800 Mulberry St
Scranton, PA 18510
Phone (570) 703-7351

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485907200000",
    "number": "1891902698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WOODLAND RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-963-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAND RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-963-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWERENZ",
        "first_name": "HEATHER",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2017-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "221792",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C144761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.