Brenda Heidrich

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY29105 Issued in CA

Legal business name

BRENDA HEIDRICH

Practice address

270 26TH St Ste 202
Santa Monica, CA 90402-2543

Phone

(319) 748-8393

NPI assigned

Apr 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Brenda Heirich, PHD

Title

Psychologist

Phone

(310) 748-8393

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brenda Heidrich, PHD

  • Clinical Psychologist
  • Santa Monica, CA
  • NPI 1881123917
  NPD (past)

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1932633302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11387 THURSTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900492428",
            "telephone_number": "310-748-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 26TH ST STE 202",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904022543",
            "telephone_number": "319-748-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENDA HEIDRICH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "HEIRICH",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-748-8393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY29105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Bravo, PSY.D.
• Nicholas Brayley
• Dana Ruth Brea, REGISTERED NURSE
• Debora Brechesi Milioni, BSN, MSN, MBA, IBCLC
• Lisa Ann Brehove
• Brenda S Lee
• Brendan Murray Inc.
• Stephanie Victoria Brenman, M.D.
• Kathleen Marie Brennan, MD
• Andrea Jae Brennglass, PT, DPT, ATC, CSCS

• Psychologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.