Heidi Jo Hathaway is a Brooklyn Center, Minnesota based psychologist with 28 years of experience in Clinical Psychology. She completed her graduation in 1996. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Heidi Jo Hathaway is LP3930 for Clinical Psychology in Minnesota. Her current practice location is 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center. Patients can reach her at 763-503-8560 or can fax her at 763-503-8563. Heidi Jo Hathaway is PSYD, LP in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1780755256. Heidi Jo Hathaway is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Heidi Jo Hathaway speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Heidi Jo Hathaway
Specialization:
Clinical Psychology
Gender:
Female
Credentials:
PSYD, LP
Experience:
28+ years
Medical School Attended:
Other
Graduation Year:
1996
Accepts Medicare Assignment:
Yes
Practice Address:
6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, Minnesota, 55430-2155
Phone:
763-503-8560
Fax:
763-503-8563
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6204902240
Enrollment ID:
I20080827000592
NPI Number:
1780755256
NPI Enumeration Date:
13 Nov, 2006
NPI Last Update On:
02 Feb, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Heidi Jo Hathaway are as mentioned below.
License Number
Specialization
State
Status
LP3930
Clinical Psychology
Minnesota
Primary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Heidi Jo Hathaway is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Nystrom And Associates Ltd (6406752492)
172
Other Medical Identifiers:
Other legacy medical identifiers associated with Heidi Jo Hathaway such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
123494
Other
Minnesota
UCARE
61-34863
Other
Minnesota
MEDICA
050385100
Medicaid
11R21RE
Other
Minnesota
BLUECROSSBLUESHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Heidi Jo Hathaway 4240 Park Glen Rd, St Louis Park, Minnesota
Zip:
55416-5427
Phone Number:
612-925-6033
Fax Number:
612-925-8496
Patients can reach Heidi Jo Hathaway at 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, Minnesota or can call to book an appointment on 763-503-8560.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.