DR. DONNA M.L. HERETICK (NPI# 1417163528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417163528 |
| Entity Type | Individual |
| Full Name | DR. DONNA M.L. HERETICK |
| Credential | PH.D. |
| Practice Address |
6451 W Prickly Pear Trl Glendale AZ 85310-1023 |
| Practice Telephone | 6233622030 |
| Mailing Telephone | 6233622030 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 3747 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
6451 W PRICKLY PEAR TRL |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85310-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316597479 | Diana Olp | Technician | 5003 W. Creedance Blvd., Glendale, AZ 85310 | 2019-09-19 |
| 1972091940 | Daniel Hamilton | Physician Assistant | 4946 W Electra Ln, Glendale, AZ 85310 | 2018-04-25 |
| 1265958615 | Rose Ilene Wesol | Registered Nurse | Copper Creek Elementary School, 7071 W Hillcrest Blvd, Glendale, AZ 85310 | 2017-08-17 |
| 1730510785 | Otilia Muresan | Preferred Provider Organization | 22365 N 69th Ave, Glendale, AZ 85310 | 2013-12-02 |
| 1811129026 | Hope Healthcare, LLC | Home Health | 6022 W Robin Ln, Glendale, AZ 85310 | 2009-08-20 |
| 1467699777 | Desert Winds Behavioral Health LLC | Case Management | 6127 W. Westwind Dr., Glendale, AZ 85310 | 2009-01-08 |
| 1083835235 | Amy Marie Mccluer | Occupational Therapy Assistant | 7071 W. Hillcrest Blvd., Glendale, AZ 85310 | 2007-05-02 |
| 1346364866 | Camelia Igna | Assisted Living Facility | 6127 W Westwind Dr, Glendale, AZ 85310 | 2007-03-19 |
| 1124185228 | Daas Healthcare, LLC | Internal Medicine | 19841 N.27th Ave, Suite 300, Phoenix, AZ 85310 | 2007-01-02 |
| 1467545160 | Rgl Development, LLC | Assisted Living Facility | 6735 West Hillcrest Blvd, Glendale, AZ 85310 | 2006-10-02 |
| Find all providers in zip 85310 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497226864 | Austin Mccall | Psychologist | 4425 W Olive Ave Ste 151, Glendale, AZ 85302-3855 | 2018-12-11 |
| 1730595646 | Patrick Lockwood | Psychologist | 130 N Brand Blvd Ste 202, Glendale, CA 91203-2617 | 2014-07-11 |
| 1154744415 | Anahid Assatourian | Psychologist | 3520 Stancrest Dr, Glendale, CA 91208-1322 | 2014-01-22 |
| 1013205822 | Nanako Negome-kapur | Psychologist | 17218 N 72nd Dr Ste 101, Glendale, AZ 85308 | 2011-07-13 |
| 1558591172 | Laura Marie Wendlandt | Psychologist | 5859 W Talavi Blvd Ste 180, Glendale, AZ 85306-1873 | 2009-07-16 |
| 1346499761 | Anna Faye Leshner | Psychologist | 1510 S Central Ave Ste 210, Glendale, CA 91204-2557 | 2008-09-10 |
| 1184816233 | Juanita Mae Richard | Psychologist | 15082 N 59th Ave Apt 157, Glendale, AZ 85306-5234 | 2007-08-13 |
| 1417077298 | Eva J. Hageman | Psychologist | 20012 N 35th Ave, Glendale, AZ 85308-2204 | 2007-03-29 |
| 1811016942 | Tina Alexandrian | Psychologist | 100 N Brand Blvd Ste 516, Glendale, CA 91203-2614 | 2007-03-28 |
| 1063531523 | Un Chu Agnes Oh | Psychologist | 1010 N Central Ave # 315, Glendale, CA 91202 | 2007-03-28 |
| Find all providers in GLENDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.