DR. ALLAN JAMES HERITAGE II (NPI# 1316456551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316456551 |
| Entity Type | Individual |
| Full Name | DR. ALLAN JAMES HERITAGE II |
| Credential | PH.D. |
| Practice Address |
104 Eastpark Dr Ste 208 Brentwood TN 37027-7535 |
| Practice Telephone | (615) 370-4977 |
| Mailing Telephone | 6153704977 |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3499 | TN | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1410 17th Ave S, Nashville, TN 372122804 | 6152007916 |
| Street Address |
104 EASTPARK DR STE 208 |
| City | BRENTWOOD |
| State | TN |
| Zip Code | 37027-7535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114122868 | Ashley Pineda Wendt | Psychologist | 104 Eastpark Dr Ste 208, Brentwood, TN 37027-7535 | 2007-06-20 |
| 1396382867 | Loran Kelly | Psychologist | 104 Eastpark Dr Ste 208, Brentwood, TN 37027-7535 | 2019-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
| 1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
| 1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
| 1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
| 1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
| 1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
| 1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
| 1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
| 1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
| 1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
| Find all providers in zip 37027 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982101457 | Cynthia Louise Grace | Psychologist | 2079 Henry Hart Dr, Brentwood, CA 94513-5267 | 2018-04-10 |
| 1790106193 | Michelle Katz Jesop | Psychologist | 9005 Overlook Blvd Ste 117, Brentwood, TN 37027-5269 | 2014-01-02 |
| 1407109184 | J B Behavioral Health and Consultation Services Pllc | Psychologist | 6688 Nolensville Rd Ste 111-131, Brentwood, TN 37027-8833 | 2012-10-18 |
| 1316189996 | Cameron L Gordon | Psychologist | 5409 Maryland Way Ste 202, Brentwood, TN 37027 | 2009-03-30 |
| 1619158920 | Mary Beth Covert | Psychologist | 104 Eastpark Dr Ste 300, Brentwood, TN 37027-7535 | 2007-11-15 |
| 1982825899 | Aviva Ann Wasserman | Psychologist | 6544 Murray Lane, The Diagnostic Center At Currey Ingram Academy, Brentwood, TN 37027 | 2007-05-01 |
| 1649399478 | Susan Lewis | Psychologist | 215 Centerview Drive, Brentwood, TN 37027-5259 | 2007-03-29 |
| 1194875104 | Maria Abercrombie | Psychologist | 7003 Chadwick Drive, Suite 152, Brentwood, TN 37027-5288 | 2007-01-11 |
| 1255357984 | John William Fite | Psychologist | 311 Franklin Rd, Brentwood, TN 37027-5213 | 2006-07-14 |
| 1386670560 | Margaret Kohler | Psychologist | 1757 Brentwood Rd, Brentwood, NY 11717-5511 | 2006-06-23 |
| Find all providers in BRENTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.