Brian F Heatherton (NPI# 1235152901, PAC ID# 0749252013) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
Nation Provider ID (NPI) | 1235152901 |
PAC ID by PECOS | 0749252013 |
Professional Enrollment ID | I20040807000149 |
Full Name | Brian F Heatherton |
Organization Legal Name | PSYCHOLOGICAL ASSOCIATES OF CENTRAL ILLINOIS LTD |
Address |
1124 S 6th St Springfield IL 62703-2406 |
Phone Number | 2175233143 |
Gender | M |
Credential | CP |
Graduation Year | 2000 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
Group Practice PAC ID | 1355318825 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
1124 S 6th St, Springfield, IL 62703-2406 | 2175233143 | PSYCHOLOGICAL ASSOCIATES OF CENTRAL ILLINOIS LTD |
Organization Legal Name | PSYCHOLOGICAL ASSOCIATES OF CENTRAL ILLINOIS LTD |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juan M Medina | Psychiatry | Psychological Associates of Central Illinois Ltd | 1124 S 6th St, Springfield, IL 62703-2406 |
Nicole C Pacheco | Psychologist, Clinical | Psychological Associates of Central Illinois Ltd | 1124 S 6th St, Springfield, IL 62703-2406 |
Julie M Tucker | Clinical Social Worker | Psychological Associates of Central Illinois Ltd | 1124 S 6th St, Springfield, IL 62703-2406 |
Amy L Yeates | Nurse Practitioner | Psychological Associates of Central Illinois Ltd | 1124 S 6th St, Springfield, IL 62703-2406 |
Street Address |
1124 S 6TH ST |
City | SPRINGFIELD |
State | IL |
Zip | 62703-2406 |
Name | Specialty | Organization | Address |
---|---|---|---|
Juan M Medina | Psychiatry | Psychological Associates of Central Illinois Ltd | 1124 S 6th St, Springfield, IL 62703-2406 |
Nicole C Pacheco | Psychologist, Clinical | Psychological Associates of Central Illinois Ltd | 1124 S 6th St, Springfield, IL 62703-2406 |
Julie M Tucker | Clinical Social Worker | Psychological Associates of Central Illinois Ltd | 1124 S 6th St, Springfield, IL 62703-2406 |
Amy L Yeates | Nurse Practitioner | Psychological Associates of Central Illinois Ltd | 1124 S 6th St, Springfield, IL 62703-2406 |
Name | Specialty | Organization | Address |
---|---|---|---|
Corinne Jahns | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Laci Watson | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Ashlyn S Bartels | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Hwa Long Chen | General Practice | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Mastan Rao Indlamuri | Family Medicine | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Jennifer Leeann Toon Porter | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Brittani M. Cunningham | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Audrey Thursby | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Gerardo Francisco Gomez Abundis | Internal Medicine | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Ashley Nicole Dunmire | Nurse Practitioner | Central Counties Health Centers, Inc. | 2239 E Cook St, Springfield, IL 62703-1944 |
Find all physicians in zip 62703 |
City | SPRINGFIELD |
Zip Code | 62703 |
Specialty | PSYCHOLOGIST, CLINICAL |
City + Specialty | SPRINGFIELD + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Brian F Heatherton.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.