DR. MICHAEL HEFFERNAN


Address: 408 N Third Street, Fulton, TX 78358
Phone: 3614636115

DR. MICHAEL HEFFERNAN (NPI# 1457349920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457349920
Entity Type Individual
Full Name DR. MICHAEL HEFFERNAN
Credential PHD CP
Practice Address 408 N Third Street
Fulton
TX 78358
Mailing Address Po Box 2321
Fulton
TX 78358-2321
Practice Telephone 3614636115
Mailing Telephone 3614636115
Enumeration Date 2005-10-10
Last Update Date 2012-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
22178 TX Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 035457301 05

Other Providers MICHAEL HEFFERNAN

NPI Name Taxonomy Address Enumeration
1326675802 Michael Heffernan Physician Assistant 278 Eagleview Blvd, Exton, PA 19341-1157 2020-03-25
1326359506 Michael Adam Heffernan Physical Therapist 2032 New Castle Ave, New Castle, DE 19720-7703 2010-06-23
1750588836 Michael Heffernan Orthopaedic Surgery 200 Henry Clay Ave, New Orleans, LA 70118-5720 2007-07-02
1588738603 Michael Heffernan Counselor 345 Blackstone Blvd, Providence, RI 02906-4800 2006-11-20
1518923432 Michael P Heffernan Dermatology 15 Santa Rosa St, San Luis Obispo, CA 93405-1811 2006-04-21

Office Location

Street Address 408 N THIRD STREET
City FULTON
State TX
Zip Code 78358

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083933097 South Texas Sports Medicine Inc Clinic/Center 1007 Fm 3036, Fulton, TX 78358 2010-06-01
1588835227 Jay Pearce Emergency Medicine 8 Laguna Vista, Fulton, TX 78358 2008-03-21
1225188592 Coastal Bend Adult Day Care, Inc. Clinic/Center 102 Broadway, Fulton, TX 78358 2007-01-11
1346238813 Jennifer George Nurse Practitioner 408 N Third St, Fulton, TX 78358 2005-10-10
1417185265 Carolyn R Hall Speech-Language Pathologist 507 Cactus, Fulton, TX 78358-0166 2009-06-30

Providers in the same city

NPI Name Taxonomy Address Enumeration
1538775689 Ericka Jo Daniszewski Licensed Practical Nurse 112 W 1st St N, Fulton, NY 13069-1150 2020-09-23
1063026086 Rachel Romero Nurse Practitioner 407 Interchange Dr, Fulton, MS 38843-6029 2020-09-08
1215541529 David Vecchio Social Worker 522 S 4th St Ste 200, Fulton, NY 13069-2946 2020-09-03
1417565979 Eileen Welch Social Worker 1164 County Line Rd, Fulton, NY 13069-4369 2020-07-21
1619591542 Kristy S. Franks Nurse Practitioner 2803 Cobb Stump Rd, Fulton, MS 38843-7391 2020-06-06
1497378475 Sophia Adele Giovannetti Dietitian, Registered 74 Lakeshore Rd, Fulton, NY 13069-4782 2020-05-25
1609498245 Elizabeth Katherine Stoltz Radiology 1126 14th Ave, Fulton, IL 61252-1139 2020-05-16
1063034288 Kerri Scriven Speech-Language Pathologist 9459 Ellsworth Ct, Fulton, MD 20759-9639 2020-05-11
1912528274 Drayer Physical Therapy of Maryland LLC Clinic/Center 11710 E Market Place, Suite F, Fulton, MD 20759 2020-04-28
1043849755 Journey Well Therapy and Coaching Pllc Clinic/Center 408 11th Avenue, Fulton, IL 61252 2020-04-04
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164761805 Brighter Day Health LLC Psychologist 473 Law Ct, Fulton, MO 65251-4005 2013-01-31
1013539329 Ford Wellness Training & Consulting, LLC Psychologist 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759-2683 2020-05-08
1346872306 Steven M Edwards Psychologist 600 E 5th St, Fulton, MO 65251-1753 2020-02-07
1073159539 Justin M Wiseman Psychologist 600 E 5th St, Fulton, MO 65251-1753 2019-11-20
1194369744 Kirsten Deming Hunter Psychologist 600 E 5th St, Fulton, MO 65251-1753 2019-11-06
1720551666 Kayla Collier Psychologist 600 E 5th St, Fulton, MO 65251-1753 2019-01-03
1861969479 Jennie L Brooks Psychologist 600 E 5th St, Fulton, MO 65251-1753 2018-11-01
1487179602 Rebekah Antoinette Purvis Psychologist 600 E 5th St, Fulton, MO 65251 2017-08-09
1275075418 Megan O'grady Psychologist 600 E 5th St, Fulton, MO 65251-1753 2016-11-04
1578014726 Jessica Peterson Psychologist 600 E 5th St, Fulton, MO 65251-1753 2016-10-21
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Competitor

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City FULTON
Zip Code 78358

Improve Information

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Dataset Information

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.

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