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

Heather Pedersen, PHD

Individual provider Adult Development & Aging Psychologist · NPI 1083032635

Heather Pedersen, PHD is a Clinical Psychologist in Clovis, California. Qualified in 2012, 14 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2014
Specialties on file
6
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

264 Clovis Ave # 104
Clovis, CA 93612-1115
Phone: (559) 777-9061
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2335 E Kashian Ln Ste 301, Fresno, CA 93701-2234 — (559) 264-9100
  • 6733 N Willow Ave Ste 107, Fresno, CA 93710-5953 — (559) 435-4700

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence PSY31209 (CA)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence PSY31209 (CA)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence PSY31209 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence PSY31209 (CA)
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X · Licence PSY31209 (CA)
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence PSY31209 (CA)

Record details

NPI number1083032635
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESApril 21, 2021
Certification dateApril 21, 2021
Mailing address264 Clovis Avenue #104, 264 Clovis Avenue #104, Clovis, CA 93612

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount