MARK C HEFFERNAN PHD A PSYCHOLOGICAL CORPORATION (NPI# 1871664698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871664698 |
| Entity Type | Organization |
| Organization Name | MARK C HEFFERNAN PHD A PSYCHOLOGICAL CORPORATION |
| Practice Address |
47 Provence Way Rancho Mirage CA 92270-2727 |
| Mailing Address |
Po Box 2128 Rancho Mirage CA 92270-1055 |
| Practice Telephone | 7603282286 |
| Mailing Telephone | 7603282286 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2017-11-22 |
| Authorized Official Name | MARK C HEFFERNAN (OWNER) |
| Authorized Official Telephone | 7603282286 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY14471 | CA | Behavioral Health & Social Service Providers |
| Street Address |
47 PROVENCE WAY |
| City | RANCHO MIRAGE |
| State | CA |
| Zip Code | 92270-2727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366513178 | Mark C Heffernan | Psychologist | 47 Provence Way, Rancho Mirage, CA 92270-2727 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757824 | Monsetrrat Martinez | Behavioral Analyst | 69930 Ca-111, Ste 118, Rancho Mirage, CA 92270 | 2020-07-09 |
| 1306475785 | Christine Palmares | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-07 |
| 1821627449 | Dino Mellone | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Drive, Achs-gme Office Ste. 201, Rancho Mirage, CA 92270 | 2020-04-06 |
| 1356970164 | Chris Kim | Student in an Organized Health Care Education/Training Program | Eisenhower Health Emergency Medicine Residency, 39000 Bob Hope Dr., Achs-gme Office, Rancho Mirage, CA 92270 | 2020-04-03 |
| 1609434075 | Junko Ohara | Student in an Organized Health Care Education/Training Program | Eisenhower Health Internal Medicine Residency, 39000 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-05-31 |
| 1245791896 | Iman Rasheed | Student in an Organized Health Care Education/Training Program | 3900 Bob Hope Drive, Achs-gme Office, Rancho Mirage, CA 92270 | 2019-03-27 |
| 1073086583 | Robert B Greene | Internal Medicine | 8 Moon Lake Drive, Rancho Mirage, CA 92270 | 2019-01-08 |
| 1356818884 | Kade Bartschi | Dentist | 1591 Griffin Rd, 29 Palms, CA 92270 | 2018-11-02 |
| 1841775392 | Rose Pharmacy Rm LLC | Pharmacy | 35400 Bob Hope Drive, Suite #207, Rancho Mirage, CA 92270 | 2018-10-01 |
| 1235615956 | Trang Huyen Nguyen | Dentist | 71-817 Hwy 111 Suite A, Rancho Mirage, CA 92270 | 2018-07-16 |
| Find all providers in zip 92270 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790089225 | William N Rose | Psychologist | 71687 Highway 111 Ste 202, Rancho Mirage, CA 92270-4515 | 2010-12-23 |
| 1790095248 | Dennis Sapire | Psychologist | 41750 Rancho Las Palmas Dr Ste L-3, Rancho Mirage, CA 92270-5514 | 2010-10-18 |
| 1366513178 | Mark C Heffernan | Psychologist | 47 Provence Way, Rancho Mirage, CA 92270-2727 | 2006-11-13 |
| 1215019658 | Carole Dozier | Psychologist | 42-600 Bob Hope Drive, #413, Rancho Mirage, CA 92270-7172 | 2006-10-19 |
| 1932144177 | Shari M Reville | Psychologist | 42525 Rancho Mirage Ln, Rancho Mirage, CA 92270-4312 | 2006-06-20 |
| 1518929504 | Patricia E. Hunter | Psychologist | 71780 San Jacinto Dr, Suite F-1, Rancho Mirage, CA 92270-5516 | 2006-04-05 |
| 1295383099 | Shari Reville Ph.d Inc | Psychologist | 42525 Rancho Mirage Ln, Rancho Mirage, CA 92270-4312 | 2019-08-27 |
| 1720575939 | Tobias Moeller-bertram,md Corporation | Psychologist | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2018-04-13 |
| 1437304706 | Leonard J. Weston, Ph.d., A Psychological Corporation | Psychologist | 42525 Rancho Mirage Ln, Rancho Mirage, CA 92270-4312 | 2008-11-29 |
| 1003091562 | Christine Bierdrager-salley | Psychologist | 36101 Bob Hope Dr Ste B2, Rancho Mirage, CA 92270-2003 | 2008-01-03 |
| Find all providers in RANCHO MIRAGE | ||||
| City | RANCHO MIRAGE |
| Zip Code | 92270 |
Please comment or provide details below to improve the information on MARK C HEFFERNAN PHD A PSYCHOLOGICAL CORPORATION.
| 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.