Heather L. Beaudry, PHD
NPI 1760464937ActiveIndividual· Psychologist, Clinical· Johnson City, TN
Psychologist, Clinical (PHD) in Johnson City, Tennessee, licensed in TN, with an NPI issued in November 2005. Medicare paid $15,428 for services to 12 patients in 2024.
Overview
| NPI | 1760464937 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD |
| Sole proprietor | Yes |
| NPI issued | Nov 15, 2005 |
| Last updated in NPPES | Apr 12, 2021 |
| Certified by provider | Apr 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | TN2735 | TN |
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 (TN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 12 |
|---|---|
| Services billed | 210 across 2 procedure codes |
| Paid by Medicare | $15,428 |
Education and affiliations
| Graduation year | 1985 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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