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WILLIAM FREDRICK HEINEKE ED. D. NPI 1083751416


NPI Information

NPI: 1083751416
Provider Name: WILLIAM FREDRICK HEINEKE, ED. D.
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

PECOS Registration: Yes

Address:
311 S GILLETTE AVE STE 204
GILLETTE, WY
ZIP 82716
Phone: (307) 299-2001
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William Fredrick Heineke, ED. D. is a clinical psychologist in Gillette, WY. The provider is 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. William Fredrick Heineke, ED. D. NPI is 1083751416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

311 S GILLETTE AVE STE 204
GILLETTE, WY
ZIP 82716-709
Phone: (307) 299-2001

The NPI 1083751416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/1/2007 and was last updated on 2/8/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalPSYCHOLOGIST 423WYOMINGNo
2101YP2500XCounselorProfessionalLMFT 53WYOMINGNo
3101YP2500XCounselorProfessionalLPC 346WYOMINGNo
4103TC0700XPsychologistClinicalLPC346WYOMINGNo
5103TC0700XPsychologistClinicalLMFT53WYOMINGNo
6103TC0700XPsychologistClinicalLP423WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1220179800MEDICAIDWYOMING
2131573100MEDICAIDWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.