Joan Y Heffernan

Primary specialty

PsychologistTaxonomy code 103T00000X

License

9511 Issued in MA

Practice address

21 Franklin St
Suite 2
Quincy, MA 02169-4951

Phone

(781) 676-0000

Fax

(781) 676-0067

NPI assigned

Oct 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1972856243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WALTHAM ST",
            "address_2": "PMB 233",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217934",
            "telephone_number": "781-676-0000",
            "fax_number": "781-676-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 FRANKLIN ST",
            "address_2": "SUITE 2",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694951",
            "telephone_number": "781-676-0000",
            "fax_number": "781-676-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "JOAN",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "9511",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissa Heard, DMD
• Edward T Heck, PHD
• Hedmed, LLC
• Valerie Heemstra, D.O.
• Darragh Michael Heffernan, PA-C
• Karen S Heiko Wong, MSW
• Katelyn Helwick, PA-C
• Zuhayr Hemady, M.D.
• Ashley Hemeon
• Brooke Henderson, PHARMD

• Psychologist in Quincy, MA
• Providers in Quincy, MA by specialty
• Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.