DR. BRIAN FRANCIS HEATHERTON PH.D. NPI 1235152901

NPI Information

NPI: 1235152901
Provider Name: DR. BRIAN FRANCIS HEATHERTON, PH.D.
Classification: Psychologist - 103TC0700X
Specialization: Clinical
Entity Type: Individual
PECOS Registration: Yes
Address: PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS
1124 S. SIXTH STREET
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 523-3143

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NPI Details

DR. Brian Francis Heatherton, PH.D. is a clinical psychologist in Springfield, IL with 26 years of experience. 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. DR. Brian Francis Heatherton, PH.D. NPI is 1235152901. 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:

PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS
1124 S. SIXTH STREET
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 523-3143
Fax: (217) 523-7695

The NPI 1235152901 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 7/25/2006 and was last updated on 8/9/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	071.006614	ILLINOIS	Yes
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	071006614	ILLINOIS	No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	05732028	OTHER		BLUE CROSS BLUE SHIELD

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: 11/21/2025

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