HEATHER A CLINKENBEARD
NPI 1841942109
Psychologist - Clinical in Irvine, CA

Q: What is Heather Clinkenbeard's NPI number?

The NPI number for Heather Clinkenbeard is 1841942109. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Q: What is Heather Clinkenbeard's specialty?

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

Q: Is Heather Clinkenbeard enrolled in Medicare?

No. Heather Clinkenbeard has opted out of Medicare through December 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since January 18, 2022Opted out of Medicare · through Dec 10, 2027

2082 MICHELSON DR STE 214, IRVINE, CA 92612(949) 946-8701 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Heather A Clinkenbeard NPPES

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

HEATHER A CLINKENBEARD (NPI 1841942109) is an individual clinical provider in Irvine, California, licensed in California (PSY31273) and active in the NPI registry since January 2022. She has opted out of Medicare through December 10, 2027.

NPPES Registry Identity

NPI1841942109

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameHEATHER A CLINKENBEARD

Location Address2082 MICHELSON DR STE 214Irvine, CA 92612-1212

Mailing Address1 AlicanteAliso Viejo, CA 92656-3850 · (949) 280-5774

Phone(949) 946-8701

Sole ProprietorNo

Enumeration DateJanuary 18, 2022

NPPES CertifiedJanuary 18, 2022

✔ NPI 1841942109 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 · PSY31273

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.

2082 MICHELSON DR STE 214, Irvine, CA 92612

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Heather A Clinkenbeard 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 December 10, 2019 through December 10, 2027.

Opt-Out Effective DateDecember 10, 2019

Opt-Out In Effect ThroughDecember 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

MARY B ZOLLMAN LMFT

Counselor (Mental Health)

2082 MICHELSON DR STE 214
IRVINE, CA 92612

Orange County (949) 891-2489

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 Clinkenbeard's NPI number?

The NPI number for Heather Clinkenbeard is 1841942109. It was assigned to this individual provider in the NPPES registry on January 18, 2022.

Where is Heather Clinkenbeard located?

Heather Clinkenbeard practices at 2082 Michelson Dr Ste 214, Irvine, CA 92612. The listed phone number is (949) 946-8701.

What is Heather Clinkenbeard's specialty?

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

Is Heather Clinkenbeard enrolled in Medicare?

No. Heather Clinkenbeard has opted out of Medicare through December 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Heather Clinkenbeard was last updated on January 18, 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.