HEATHER PEDERSEN PH.D.
NPI 1083032635
Clinical Neuropsychologist in Clovis, CA

Q: What is Heather Pedersen's NPI number?

The NPI number for Heather Pedersen is 1083032635. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Q: What is Heather Pedersen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Heather Pedersen was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 01, 2014PECOS EnrolledAccepts Medicare Assignment

264 CLOVIS AVE # 104, CLOVIS, CA 93612(559) 777-9061 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2021, Nov 5, 2019, Oct 1, 2019 (3 updates tracked since 2019).

On this page

About Heather Pedersen Ph.d. NPPES

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

HEATHER PEDERSEN PH.D. (NPI 1083032635) is an individual clinical neuropsychologist in Clovis, California, licensed in California (PSY31209) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1083032635

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameHEATHER PEDERSENCredential: PH.D.

Location Address264 CLOVIS AVE # 104Clovis, CA 93612-1115

Mailing Address264 Clovis Avenue #104, 264 Clovis Avenue #104Clovis, CA 93612 · (559) 777-9061

Phone(559) 777-9061

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 1, 2014

Last NPPES UpdateApril 21, 20213 updates tracked since enumeration

NPPES CertifiedApril 21, 2021

✔ NPI 1083032635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in CA · PSY31209

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License PSY31209 (CA)

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License PSY31209 (CA)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY31209 (CA)

Also ListedPsychologist · Intellectual and Developmental DisabilitiesTaxonomy 103TM1800X · License PSY31209 (CA)

Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X · License PSY31209 (CA)

264 CLOVIS AVE # 104, Clovis, CA 93612

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Secondary Practice Locations 2

Location 16733 N Willow Ave Ste 107Fresno, CA 93710-5953 · Phone (559) 435-4700 · Fax (559) 298-7951

Location 22335 E Kashian Ln Ste 301Fresno, CA 93701-2234 · Phone (559) 264-9100 · Fax (559) 264-9199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Pedersen Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658596317

PECOS Enrollment IDI20191114000119

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Evaluation of neuropsychological test, each additional hour 96133

This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.

17 services11 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

11 services11 patients

Other Providers at the Same Location NPPES

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

PACIFIC STONE PSYCHOLOGY CORPORATION

Clinical Neuropsychologist

264 CLOVIS AVE # 104
CLOVIS, CA 93612

Fresno County (559) 777-9061

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 Heather Pedersen's NPI number?

The NPI number for Heather Pedersen is 1083032635. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Heather Pedersen located?

Heather Pedersen practices at 264 Clovis Ave # 104, Clovis, CA 93612. The listed phone number is (559) 777-9061.

What is Heather Pedersen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Heather Pedersen enrolled in Medicare?

Yes. Heather Pedersen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Heather Pedersen accept?

Health plans from Providence Health Plan list Heather Pedersen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heather Pedersen was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.