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Active NPI 1235152901 Individual Practitioner Male Practitioner

Dr. Brian Francis Heatherton , PhD

Psychologist - Clinical • Springfield, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brian Heatherton, PhD is a certified Psychologist - Clinical practicing in Springfield, IL. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Heatherton delivers high-quality medical care to the local community at PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS.

Dr. Heatherton is affiliated with Psychological Associates Of Central Illinois Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

Psychiatric Associates Of Central Illinois
1124 S. Sixth Street

Springfield, IL 62703

Telephone 2175233143
Fax 2175237695
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Springfield, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
26 Yrs -1.0 yrs vs City Avg
City Avg: 27.0 Yrs
State Avg: 24.2 Yrs
Regional Practice Density
47 Specialists

Practicing in Springfield, IL (4140 Statewide)

Telehealth Adoption Rate
12.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Heatherton (26 Years) 26 Yrs
Springfield Specialty Average (27.0 Years) 27.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
74 11 $298.58 $146.36

Medical Specialties & State Licenses

CMS Verified: 2022-08-09
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License IL 071.006614

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License IL 071006614

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield
05732028

Hospital & Practice Group Affiliations

Psychological Associates Of Central Illinois Ltd

1124 S 6th St, Springfield, IL 627032406

Phone: 2175233143

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Dr. Kripakaran Puvalai , MD

Psychiatry & Neurology - Psychiatry

NPI 1013053958

Doctor of Medicine (M.D.)

Kim Earl , APRN, PMHNP, FNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1063669497

Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner, Family Nurse Practitioner

Pamela Lucas , LCSW BCD

Social Worker - School

NPI 1134271166

LCSWBCD

Paul Wehner , LCSW

Social Worker - Clinical

NPI 1164697967

Licensed Clinical Social Worker

Dr. Thomas Low , PhD

Psychologist - Clinical

NPI 1184776700

Doctor of Philosophy (Ph.D.)

Dennis Petty , LCSW

Social Worker - Clinical

NPI 1437236601

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 09, 2022

Registered at PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS, 1124 S. SIXTH STREET, SPRINGFIELD, IL 62703 (Tel: 2175233143)

📍
Updated Business Mailing Address August 09, 2022

Registered at PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS, 1124 S. SIXTH STREET, SPRINGFIELD, IL 62703 (Tel: 2175233143)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2022

Psychologist (License #071.006614 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 202 E LOCUST ST, BLOOMINGTON, IL 617013006 (Tel: 3092683529)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 2451, BLOOMINGTON, IL 617022451 (Tel: 3092682172)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRIAN HEATHERTON, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor

🟢
Initial NPI Registration & Enumeration July 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1235152901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2006
Last Update: August 09, 2022
Sole Proprietor: No

Mailing Address

Psychiatric Associates Of Central Illinois, 1124 S. Sixth Street

Springfield, IL 62703

Phone: 2175233143

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.