NPPES file of Aug 9, 2026

Heidi Jo Hathaway, PSYD, LP

Clinical Psychologist · Brooklyn Center, MN

Heidi Jo Hathaway, PSYD, LP is a clinical psychologist with a practice address in Brooklyn Center, Minnesota, and NPI 1780755256, issued on Nov 13, 2006. Check the license (Minnesota LP3930, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1780755256
Name
Heidi Jo Hathaway
Credential
PSYD, LP
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
LP3930 MN
Self-reported in NPPES; status is on the state search
Practice location
6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430
Phone
(763) 503-8560
Enumerated
Nov 13, 2006
Record last updated
Feb 2, 2023
Fax
(763) 503-8563
Medicaid ID
050385100 FM
Medicare enrollment
Enrolled (PECOS I20080827000592); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 1,538 in Minnesota → Look up another NPI →

Also registered at 6200 Shingle Creek Pkwy Ste 350

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Amy Kuusisto-Lathrop, MSW, LICSWClinical Social Worker1275699381
  2. Whitney McElhone, MS, LPCCProfessional Counselor1316535370
  3. Jackline Moriasi, MSN, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1326761842
  4. Kimberly Oftedahl-Brooks, MSW, LICSWClinical Social Worker1356467856

Verify Heidi Jo Hathaway in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
    Search for license LP3930    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Minnesota license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Associated Clinic OF Psychology IncBrooklyn Center, MN

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Heidi Jo Hathaway among 1,538 clinical psychologist records in Minnesota

Heidi Jo Hathaway, PSYD, LP is one of 1,538 clinical psychologist records with a practice address in Minnesota. 26% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 4% of them.

  • NPI issued2006 · 4% of these records are older, 63% newer
  • In a Medicare fileYes · 26% of these records are
  • In the CMS Doctors and Clinicians fileYes · 33% of these records are
  • Graduated1996 · median 2008 among the 510 with a school on file
  • Record last updated2023 · 66% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

7 clinical psychologist records list a practice address in Brooklyn Center

They are 7 of the 871 NPPES records with a practice address in Brooklyn Center, and 1,538 clinical psychologist records in Minnesota.

All 1,538 in Minnesota → Every provider in Brooklyn Center → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Thomas Breitenbucher, PH.D., L.P.Brooklyn Center, MN 554301699846154
  2. Dorothy Edelson, PSY.D., L.P.Brooklyn Center, MN 554301356412498
  3. Charles Greenman, LPBrooklyn Center, MN 554301629015631
  4. Spencer Olson, LPBrooklyn Center, MN 554301588722524
  5. Claire Welsch, PHD, LPBrooklyn Center, MN 554301629613351
  6. Tawnda BickfordBloomington, MN 554311124394721
  7. Hoinu Bunce, PSY.D., LPBloomington, MN 554311336151307
  8. Toni Collins, PHDBrooklyn Center, MN 554291508079781

Common questions

What is Heidi Jo Hathaway, PSYD, LP's NPI number?

Heidi Jo Hathaway, PSYD, LP's National Provider Identifier (NPI) is 1780755256, issued on Nov 13, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Heidi Jo Hathaway, PSYD, LP located?

The NPPES record lists a practice address at 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN, 55430. Phone: (763) 503-8560. Providers update this record themselves, so call before visiting.

How can I verify Heidi Jo Hathaway, PSYD, LP's license?

NPPES lists Minnesota license number LP3930, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.