1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Psychologist
  6. NPI Profile

DR. JENNIFER HEETDERKS PSYD
NPI 1013177658
Psychologist - Clinical in Los Angeles, CA

Active since June 16, 2008
1600 CAMPUS RD, EMMONS HEALTH CENTER, LOS ANGELES, CA 90041(323) 259-2657 Get Directions Write a Review

NPPES record last updated: July 26, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jennifer Heetderks Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER HEETDERKS PSYD (NPI 1013177658) is an individual clinical provider in Los Angeles, California, licensed in California (PSY22924) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1013177658
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER HEETDERKSCredential: PSYD
Location Address1600 CAMPUS RD, EMMONS HEALTH CENTERLos Angeles, CA 90041-3314
Mailing Address1600 Campus Rd, Emmons Health CenterLos Angeles, CA 90041-3314 · (323) 259-2657
Phone(323) 259-2657
Sole ProprietorNo
Enumeration DateJune 16, 2008
Last NPPES UpdateJuly 26, 2011
✔ NPI 1013177658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY22924
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1600 CAMPUS RD, Los Angeles, CA 90041
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVELYN YIP CHAN FNP-BC
Nurse Practitioner (Family)
1600 CAMPUS RD
LOS ANGELES, CA 90041
Los Angeles County (323) 259-2657
G.A. E GRIFFIN, PH.D., INC
Psychologist (Clinical)
1600 CAMPUS RD
LOS ANGELES, CA 90041
Los Angeles County (323) 471-1067
GLENN GRIFFIN
Psychologist (Clinical)
1600 CAMPUS RD
LOS ANGELES, CA 90041
Los Angeles County (323) 259-2799
ANNA RIVERA PH.D.
Psychologist (Clinical)
1600 CAMPUS RD, F-57
LOS ANGELES, CA 90041
Los Angeles County (323) 259-2657
BRIAN GOMEZ ATC
Specialist/Technologist (Athletic Trainer)
1600 CAMPUS RD
LOS ANGELES, CA 90041
Los Angeles County (562) 805-4413

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Heetderks's NPI number?

The NPI number for Jennifer Heetderks is 1013177658. It was assigned to this individual provider in the NPPES registry on June 16, 2008.

Where is Jennifer Heetderks located?

Jennifer Heetderks practices at 1600 Campus Rd Emmons Health Center, Los Angeles, CA 90041. The listed phone number is (323) 259-2657.

What is Jennifer Heetderks's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer Heetderks was last updated on July 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.