Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carolyn J Heineman PHD LLC

Organization Clinical Psychologist · NPI 1689965329

Carolyn J Heineman PHD LLC is a Clinical Psychologist in Portage, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

Licensed in
MI
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5228 Lovers Ln Ste 104
Portage, MI 49002-1521
Phone: (269) 345-7101
Fax: (269) 345-7101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6301013201 (MI)

Record details

NPI number1689965329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carolyn Heineman — President · (269) 345-7101
NPI enumeratedApril 28, 2011
Last updated in NPPESApril 28, 2011
Mailing address5228 Lovers Ln, Suite 104, Portage, MI 49002-1521

Other providers in Portage