HEIDI HAENISCH PH.D.
NPI 1730854001
Psychologist - Clinical in Atascadero, CA

Q: What is Heidi Haenisch's NPI number?

The NPI number for Heidi Haenisch is 1730854001. It was assigned to this individual provider in the NPPES registry on August 10, 2021.

Q: What is Heidi Haenisch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heidi Haenisch was last updated on August 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since August 10, 2021

10333 EL CAMINO REAL, PSYCHOLOGY DEPARTMENT, ATASCADERO, CA 93422(805) 468-3573 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2021, Aug 10, 2021 (2 updates tracked since 2021).

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About Heidi Haenisch Ph.d. NPPES

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

HEIDI HAENISCH PH.D. (NPI 1730854001) is an individual clinical provider in Atascadero, California, licensed in California (32703) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1730854001

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameHEIDI HAENISCHCredential: PH.D.

Location Address10333 EL CAMINO REAL, PSYCHOLOGY DEPARTMENTAtascadero, CA 93422

Mailing Address10333 El Camino Real, Psychology DepartmentAtascadero, CA 93422 · (805) 468-3573

Phone(805) 468-3573

Sole ProprietorNo

Enumeration DateAugust 10, 2021

Last NPPES UpdateAugust 25, 20212 updates tracked since enumeration

NPPES CertifiedAugust 25, 2021

✔ NPI 1730854001 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 CA · 32703

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.

10333 EL CAMINO REAL, Atascadero, CA 93422

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Other Providers at the Same Location NPPES 20

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

GIZELLA MARIA RAYMOND N.P., R.N.

Nurse Practitioner (Psychiatric/Mental Health)