HEATHER COAKLEY PSYD
NPI 1588861900
Psychologist in Tustin, CA

Active since June 29, 2007PECOS Enrolled
1421 EDINGER AVE STE D, TUSTIN, CA 92780(714) 542-8999 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heather Coakley Psyd NPPES

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

HEATHER COAKLEY PSYD (NPI 1588861900) is an individual psychologist in Tustin, California, licensed in California (PSY21078) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1588861900
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameHEATHER COAKLEYCredential: PSYD
Location Address1421 EDINGER AVE STE DTustin, CA 92780-6287
Mailing Address4650 Pepperwood AveLong Beach, CA 90808-1071 · (562) 824-4353
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateNovember 30, 2021
NPI 1588861900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY21078
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1421 EDINGER AVE STE D, Tustin, CA 92780

Other Identifiers 1

Other471452631CA · Psychologist

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Heather Coakley Psyd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Clinical Medical Laboratory
1421 EDINGER AVE STE D
TUSTIN, CA 92780

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 Coakley's NPI number?

The NPI number for Heather Coakley is 1588861900. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Heather Coakley located?

Heather Coakley practices at 1421 Edinger Ave Ste D, Tustin, CA 92780. The listed phone number is (714) 542-8999.

What is Heather Coakley's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Heather Coakley enrolled in Medicare?

Yes. Heather Coakley is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Coakley was last updated on November 30, 2021. 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.