DR. MICHAEL HEFFERNAN PHD CP
NPI 1457349920
Psychologist - Clinical in Fulton, TX

NPI Status: Active since October 10, 2005

Contact Information

408 N THIRD STREET
FULTON, TX
ZIP 78358
Phone: (361) 463-6115

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  • Individual
  • Male
  • Psychologist
  • Clinical

About MICHAEL HEFFERNAN

This page provides the complete NPI Profile along with additional information for Michael Heffernan, a provider established in Fulton, Texas with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1457349920 assigned on October 2005. The practitioner's primary taxonomy code is 103TC0700X with license number 22178 (TX). The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1457349920
Provider Name
DR. MICHAEL HEFFERNAN PHD CP
Gender
Male
Entity Type
Individual
Location Address
408 N THIRD STREET FULTON, TX 78358
Location Phone
(361) 463-6115
Mailing Address
PO BOX 2321 FULTON, TX 78358
Mailing Phone
(361) 463-6115
Is Sole Proprietor?
Yes
Enumeration Date
10-10-2005
Last Update Date
08-10-2012
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A clinical psychologist like Michael Heffernan assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychologist Clinical

Taxonomy Code
103TC0700X
Type
Behavioral Health & Social Service Providers
License No.
22178
License State
TX
Taxonomy Description
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
035457301MEDICAID (05)TX 
00QH45MEDICARE ID-TYPE UNSPECIFIED (04) 
R58815MEDICARE UPIN (02) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457349920
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24107641894
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 6 + 4 + 1 + 8 + 9 + 4 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1457349920 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457349920, enumerated in the NPI registry as an "individual" on October 10, 2005

The provider is located at 408 N Third Street Fulton, Tx 78358 and the phone number is (361) 463-6115

The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on October 10, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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