DR. KENNETH E HEINRICHS (NPI# 1467556589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467556589 |
| Entity Type | Individual |
| Full Name | DR. KENNETH E HEINRICHS |
| Credential | PSYD |
| Practice Address |
755 E. Mcardle Drive Suite E Crystal Lake IL 60014-1717 |
| Mailing Address |
755 E Mcardle Dr Suite E Crystal Lake IL 60014-1717 |
| Practice Telephone | 8153427181 |
| Practice Fax Number | 8153449795 |
| Mailing Telephone | 8153427181 |
| Mailing Fax Number | 8153449795 |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2010-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
2384057 | WI | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071006063 | IL | Behavioral Health & Social Service Providers |
| Street Address |
755 E. MCARDLE DRIVE SUITE E |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356468771 | Debra K.hirschberg and Associates, Inc. | Psychologist | 185 Heritage Dr # 1, Crystal Lake, IL 60014-8068 | 2007-03-22 |
| 1235278342 | Edward Baxter Rusin | Psychologist | 7009 Crystal Springs Road, Crystal Lake, IL 60012-1154 | 2007-02-05 |
| 1487736690 | Glenn B Gelman | Psychologist | 14 Brink St, Crystal Lake, IL 60014-4302 | 2006-10-19 |
| 1740388487 | Michael T Burns | Psychologist | 610-3 Crystal Point Drive, Crystal Lake, IL 60014 | 2006-09-20 |
| 1386748796 | Lockwood Psychological Services Ltd | Psychologist | 453 Coventry Ln, Suite 103a, Crystal Lake, IL 60014-7504 | 2006-09-08 |
| 1881704708 | Michelle Lynne Mcclellan | Psychologist | 330 West Terra Cotta Ave #9, Crystal Lake, IL 60014 | 2006-08-30 |
| 1588687370 | Linda Bedsole | Psychologist | 610 N. Route 31, Suite E, Crystal Lake, IL 60012-3715 | 2006-07-25 |
| 1225060353 | Margarete A. Ronnett | Psychologist | 3319 Shadowood Dr, Crystal Lake, IL 60012-1337 | 2006-07-07 |
| 1477515138 | Barbara K. Fetzer | Psychologist | 95 Grant St, Suite 215, Crystal Lake, IL 60014-4394 | 2006-04-06 |
| 1689100232 | Timothy J. Hayes, Psy.d.p.c. | Psychologist | 800 S Mchenry Ave, Suite B, Crystal Lake, IL 60014-7487 | 2017-05-02 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on DR. KENNETH E HEINRICHS.
| 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.