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Active NPI 1457349920 Individual Practitioner Male Practitioner

Dr. Michael Heffernan , PHD CP

Psychologist - Clinical • Fulton, TX

Professional Overview & Biography Verified Profile Summary

Dr. Michael Heffernan, PHD CP is a registered healthcare professional specializing in Psychologist - Clinical in Fulton, TX. Practice services are available at 408 N THIRD STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

408 N Third Street

Fulton, TX 78358

Telephone 3614636115

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Fulton, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
1 Specialists

Practicing in Fulton, TX (2898 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License TX 22178

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
035457301 (TX)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 10, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 10, 2012

Registered at 408 N THIRD STREET, FULTON, TX 78358 (Tel: 3614636115)

📍
Updated Business Mailing Address August 10, 2012

Registered at PO BOX 2321, FULTON, TX 783582321 (Tel: 3614636115)

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Provider Name / Credentials Updated August 10, 2012

Recorded as MICHAEL HEFFERNAN, PHD CP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2012

Psychologist (License #22178 in TX)

🟢
Initial NPI Registration & Enumeration October 10, 2005

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: 1457349920
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 10, 2005
Last Update: August 10, 2012
Sole Proprietor: Yes

Mailing Address

Po Box 2321

Fulton, TX 783582321

Phone: 3614636115

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

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