HEIDI Y. KWAN PHD PSYCHOLOGIST PC
NPI 1104663384
Psychologist - Clinical in Ventura, CA
About Heidi Y. Kwan Phd Psychologist Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEIDI Y. KWAN PHD PSYCHOLOGIST PC (NPI 1104663384) is a healthcare organization registered as a clinical in Ventura, California and active in the NPI registry since July 2024. The organization lists Heidi Kwan, Psychologist/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Heidi Y. Kwan Phd Psychologist Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Heidi Y. Kwan Phd Psychologist PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Heidi Y. Kwan Phd Psychologist PC's NPI number?
The NPI number for Heidi Y. Kwan Phd Psychologist PC is 1104663384. It was assigned to this organization in the NPPES registry on July 13, 2024.
Where is Heidi Y. Kwan Phd Psychologist PC located?
Heidi Y. Kwan Phd Psychologist PC is located at 3585 Maple St Ste 255, Ventura, CA 93003. The listed phone number is (805) 650-0657.
What is Heidi Y. Kwan Phd Psychologist PC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Heidi Y. Kwan Phd Psychologist PC enrolled in Medicare?
Yes. Heidi Y. Kwan Phd Psychologist PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Heidi Y. Kwan Phd Psychologist PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Heidi Y. Kwan Phd Psychologist PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Heidi Y. Kwan Phd Psychologist PC was last updated on July 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Heidi Y. Kwan Phd Psychologist Pc · NPI 1104663384
Clinical organization in Ventura, California. Organization record, active in the CMS NPPES registry since July 13, 2024.
## Identity
- **NPI:** 1104663384 (Entity type: Organization)
- **Enumerated:** July 13, 2024
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Heidi Kwan, PSYCHOLOGIST/PRESIDENT
## Practice location
- **Address:** 3585 MAPLE ST STE 255, Ventura, CA 93003-9147
- **Phone:** (805) 650-0657
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1104663384) · Data from the CMS NPPES public registry.