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DR. BRIAN FRANCIS HEATHERTON PH.D.
NPI 1235152901
Psychologist - Clinical in Springfield, IL

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS, 1124 S. SIXTH STREET, SPRINGFIELD, IL 62703(217) 523-3143(217) 523-7695 Get Directions Write a Review

NPPES record last updated: August 9, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Brian Francis Heatherton Ph.d. NPPES

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

DR. BRIAN FRANCIS HEATHERTON PH.D. (NPI 1235152901) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (071.006614) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1235152901
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRIAN FRANCIS HEATHERTONCredential: PH.D.
Location AddressPSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS, 1124 S. SIXTH STREETSpringfield, IL 62703
Mailing AddressPsychiatric Associates Of Central Illinois, 1124 S. Sixth StreetSpringfield, IL 62703 · (217) 523-3143 · Fax (217) 523-7695
Phone(217) 523-3143
Fax(217) 523-7695
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 25, 2006
Last NPPES UpdateAugust 9, 2022
NPPES CertifiedAugust 9, 2022
✔ NPI 1235152901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in IL · 071.006614
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 071006614 (IL)
PSYCHIATRIC ASSOCIATES OF CENTRAL ILLINOIS, Springfield, IL 62703
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Other Identifiers 1

Other05732028Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian Francis Heatherton 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 ID749252013
PECOS Enrollment IDI20040807000149
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.

Medicare Billing Reassignment

Medicare enrollment records show Brian Heatherton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychological Associates Of Central Illinois Ltd
2.2 mi
Psychiatry
1124 SOUTH SIXTH STREET
Springfield, IL 62703
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1376698050 (217) 523-3143

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
74 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62703 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$168.44 typical visit price
range $54.80 – $168.44
Typical copayment $42.11 (range $13.70 – $42.11)
Most-billed visit code 99205
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Brian Heatherton's NPI number?

The NPI number for Brian Heatherton is 1235152901. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Brian Heatherton located?

Brian Heatherton practices at Psychiatric Associates Of Central Illinois 1124 S. Sixth Street, Springfield, IL 62703. The listed phone number is (217) 523-3143.

What is Brian Heatherton's specialty?

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

Is Brian Heatherton enrolled in Medicare?

Yes. Brian Heatherton 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.

Which organization bills Medicare for Brian Heatherton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Heatherton reassigns Medicare benefits to Psychological Associates Of Central Illinois Ltd (Springfield, IL). The 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 Brian Heatherton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Brian Heatherton was last updated on August 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.