JENNY HEETDERKS, LICENSED PSYCHOLOGIST, INC.
NPI 1407561848
Psychologist - Clinical in Pasadena, CA

Q: What is Jenny Heetderks, Licensed Psychologist, Inc.'s specialty?

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

Active since January 19, 2023

595 E COLORADO BLVD STE 610, PASADENA, CA 91101(626) 765-7668 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jenny Heetderks, Licensed Psychologist, Inc. NPPES

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

JENNY HEETDERKS, LICENSED PSYCHOLOGIST, INC. (NPI 1407561848) is a healthcare organization registered as a clinical in Pasadena, California and active in the NPI registry since January 2023. The organization lists Jennifer Heetderks, Owner, as its authorized official.

NPPES Registry Identity

NPI1407561848

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameJENNY HEETDERKS, LICENSED PSYCHOLOGIST, INC.

Location Address595 E COLORADO BLVD STE 610Pasadena, CA 91101-2015

Mailing Address1725 Walworth AvePasadena, CA 91104-2332

Phone(626) 765-7668

Organization SubpartNo

Authorized OfficialJennifer HeetderksOwner · (626) 765-7668

Enumeration DateJanuary 19, 2023

NPPES CertifiedJanuary 19, 2023

✔ NPI 1407561848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

595 E COLORADO BLVD STE 610, Pasadena, CA 91101

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

BENJAMIN ROOS PSYD

Psychologist

595 E COLORADO BLVD STE 610
PASADENA, CA 91101

Los Angeles County (626) 344-0232

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 Jenny Heetderks, Licensed Psychologist, Inc.'s NPI number?

The NPI number for Jenny Heetderks, Licensed Psychologist, Inc. is 1407561848. It was assigned to this organization in the NPPES registry on January 19, 2023.

Where is Jenny Heetderks, Licensed Psychologist, Inc. located?

Jenny Heetderks, Licensed Psychologist, Inc. is located at 595 E Colorado Blvd Ste 610, Pasadena, CA 91101. The listed phone number is (626) 765-7668.

What is Jenny Heetderks, Licensed Psychologist, Inc.'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 Jenny Heetderks, Licensed Psychologist, Inc. was last updated on January 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.