CLIFFORD RAMBO HEEGEL (NPI# 1417992298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417992298 |
| Entity Type | Individual |
| Full Name | CLIFFORD RAMBO HEEGEL |
| Credential | PH.D. |
| Practice Address |
4728 Spottswood Ave #361 Memphis TN 38117-4817 |
| Practice Telephone | 9017630999 |
| Mailing Telephone | 9017630999 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-12-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
P001687 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3688272 | 05 | |
| TN | PSYCHOLOGY LICENSE | P001687 | 01 |
| Street Address |
4728 SPOTTSWOOD AVE #361 |
| City | MEMPHIS |
| State | TN |
| Zip Code | 38117-4817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154980639 | Zup Medical Services, LLC | Clinic/Center | 4576 Poplar Avenue, Memphis, TN 38117 | 2019-06-10 |
| 1104386028 | Faith Christie Leigh Roby | Counselor | 4646 Poplar Ave Ste 510, Memphis, TN 38117 | 2019-03-25 |
| 1023511300 | Genita Lashonda Johnson-hammond | Specialist | 4565 Quince Rd, 1b, Memphis, TN 38117 | 2018-03-14 |
| 1023547494 | Rivka R Braverman | Licensed Practical Nurse | 5050 Sanderlin Avenue, Memphis, TN 38117 | 2017-06-08 |
| 1285002451 | Shauna Lomax | Physical Therapy Assistant | 258 Leonora Dr, Memphis, TN 38117 | 2015-09-04 |
| 1255735569 | Caring Hearts of The Mid South | In Home Supportive Care | 4646 Poplar, Suite 213b, Memphis, TN 38117 | 2014-10-15 |
| 1063821296 | Tomasz A Charowski | Dentist | 670 Colonial Rd Ste 3, Memphis, TN 38117 | 2014-08-13 |
| 1255760385 | Tennessee Dental Professionals PC | Dentist | 370 Colonial Road, 3, Memphis, TN 38117 | 2013-11-08 |
| 1447692264 | Dory Sellers | Dentist | 4515 Poplar Avenue, Suite 406, Memphis, TN 38117 | 2013-07-22 |
| 1366791808 | Amirio Jonte Armour | Pharmacist | 1760 Moriah Woods, Suite 2, Memphis, TN 38117 | 2012-08-30 |
| Find all providers in zip 38117 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427603554 | University of Memphis | Psychologist | 4055 North Park Loop, Suite 1000, Memphis, TN 38152 | 2019-08-06 |
| 1396953071 | Robert Joseph Maichrowicz | Psychologist | 214 Wilder Tower, University of Memphis, Memphis, TN 38152-0001 | 2007-05-18 |
| 1356489827 | Gina L Prigoff | Psychologist | 740 E Brookhaven Cir, Suite 5, Memphis, TN 38117-4547 | 2007-02-04 |
| 1326110586 | Sharon Smith Thompson | Psychologist | 35 S Auburndale St, Memphis, TN 38104-3916 | 2006-11-14 |
| 1811008113 | Leanne Pate | Psychologist | 4646 Poplar Avenue, #326, Memphis, TN 38117-4442 | 2006-08-31 |
| 1558359463 | William Fleming Mealer | Psychologist | 1037 Cresthaven Rd, Memphis, TN 38119-3833 | 2005-10-13 |
| 1437795671 | Katherine Brown | Psychologist | 815 Mount Moriah Rd, Memphis, TN 38117-5704 | 2019-11-22 |
| 1841696101 | Wright Enhancement Center | Psychologist | 3311 Kimball Ave, Memphis, TN 38111-3846 | 2014-11-14 |
| 1174965024 | Shakira S Thomas | Psychologist | 8295 Tournament Dr, Memphis, TN 38125-8906 | 2013-07-20 |
| 1437480985 | Michael F. Gavetti | Psychologist | 5909 Shelby Oaks Dr, Suite 100, Memphis, TN 38134-7317 | 2010-01-22 |
| Find all providers in MEMPHIS | ||||
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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.