Amy Kristiana Heesacker, PHD
NPI 1255618054ActiveIndividual· Psychologist· Watkinsville, GA
Psychologist (PHD) in Watkinsville, Georgia, licensed in GA, with an NPI issued in November 2011. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1255618054 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Nov 8, 2011 |
| Last updated in NPPES | Dec 7, 2020 |
| Certified by provider | Dec 7, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | PSY003495 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (GA) |
|---|
Education and affiliations
| Graduation year | 1997 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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