Individual provider Active NPI

David Robert Heckler, PH.D.

  • Psychologist
  • Austin, TX
National Provider Identifier
1003242710
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
36512 Issued in TX
Practice address
1600 W 38TH St Ste 212
Austin, TX 78731-6405
Phone
(512) 324-3315
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 36512 TX Primary

Addresses

Primary practice location

1600 W 38TH St Ste 212
Austin, TX 78731-6405

Mailing address

1601 Rio Grande St
Suite 340
Austin, TX 78701-1137
Phone (512) 324-8960

Other identifiers 1

IdentifierTypeStateIssuer
335907701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140220001217 TX Practitioner - Clinical Psychologist 9234369174 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
36512TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Seton Family of Doctors Past Accepting new patients
Seton Family of Doctors Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: david.heckler.1@8363.direct.athenahealth.com
  • Direct secure messaging: david.heckler.1@16041.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1003242710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 RIO GRANDE ST",
            "address_2": "SUITE 340",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011137",
            "telephone_number": "512-324-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 W 38TH ST STE 212",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787316405",
            "telephone_number": "512-324-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKLER",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "36512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335907701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.