DR. KAREN HEFFERNAN PHD
NPI 1285629436
Psychologist - Clinical in Scotch Plains, NJ

Active since September 14, 2005Opted out of Medicare · through Jan 1, 2028
2284 SOUTH AVE, SCOTCH PLAINS, NJ 07076(908) 205-2236 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Karen Heffernan Phd NPPES

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

DR. KAREN HEFFERNAN PHD (NPI 1285629436) is an individual clinical provider in Scotch Plains, New Jersey, licensed in New York (013518) and active in the NPI registry since September 2005. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1285629436
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KAREN HEFFERNANCredential: PHD
Location Address2284 SOUTH AVEScotch Plains, NJ 07076-4697
Mailing Address323 Park StWestfield, NJ 07090-3213 · (908) 205-2236
Sole ProprietorYes
Enumeration DateSeptember 14, 2005
Last NPPES UpdateMarch 13, 2009
NPI 1285629436 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 NY · 013518
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.
2284 SOUTH AVE, Scotch Plains, NJ 07076

Other Identifiers 1

Medicare ID-Type UnspecifiedV81991NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Karen Heffernan Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2016 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2016
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07076 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
2284 SOUTH AVE, SUITE 2L
SCOTCH PLAINS, NJ 07076
Social Worker (Clinical)
2284 SOUTH AVE
SCOTCH PLAINS, NJ 07076
Psychologist (Clinical)
2284 SOUTH AVE, SUITE 2L
SCOTCH PLAINS, NJ 07076
Psychologist
2284 SOUTH AVE, SUITE 2L
SCOTCH PLAINS, NJ 07076
Psychologist
2284 SOUTH AVE, SUITE 2
SCOTCH PLAINS, NJ 07076
Social Worker (Clinical)
2284 SOUTH AVE
SCOTCH PLAINS, NJ 07076

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 Karen Heffernan's NPI number?

The NPI number for Karen Heffernan is 1285629436. It was assigned to this individual provider in the NPPES registry on September 14, 2005.

Where is Karen Heffernan located?

Karen Heffernan practices at 2284 South Ave, Scotch Plains, NJ 07076. The listed phone number is (908) 205-2236.

What is Karen Heffernan's specialty?

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

Is Karen Heffernan enrolled in Medicare?

No. Karen Heffernan has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Karen Heffernan was last updated on March 13, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.