Active NPI
Nicholas Christopher Heck, PH.D.
- Clinical Psychologist
- Greencastle, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3228-57
- Practice address
- 1542 S Bloomington St
Greencastle, IN 46135-2212 - Phone
- (765) 301-7449
- NPI assigned
- Jul 18, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3228-57 | WI | Primary |
Addresses
Primary practice location
1542 S Bloomington St
Greencastle, IN 46135-2212
Mailing address
5007 S Howell Ave
Ste 350
Milwaukee, WI 53207-6159
Phone (262) 789-1191
Other practice location 1
5007 S Howell Ave Ste 350
Milwaukee, WI 53207-6159
Phone (262) 789-1191
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nicholasheck@pch.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170824001403 | WI | Practitioner - Clinical Psychologist | 8325310410 | Reassigns benefits to 1 organization |
| I20181204002393 | IN | Practitioner - Clinical Psychologist | 8325310410 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Putnam County Hospital
Practice addresses (Care Compare)
1542 S Bloomington St
Greencastle, IN 46135-2212
51 E Market St
Family Medicine of Cloverdale
Cloverdale, IN 46120-8427
Phone (765) 795-4242
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 97
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3228-57 | WI | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Cornerstone Counseling Services, Inc | Current | Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients | |
| Putnam County Hospital | Current | Accepting new patients |
Locations
440 E Pat Rady Way
Bainbridge, IN 46105
Phone (765) 522-2556
51 E Market St
Cloverdale, IN 46120
Phone (765) 795-4242
1542 S Bloomington St
Greencastle, IN 46135
Phone (765) 522-2556
1542 S Bloomington St
#1100
Greencastle, IN 46135
Phone (765) 658-2700
1542 S Bloomington St
Ste 1100
Greencastle, IN 46135
Phone (765) 658-2700
10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100
5007 S Howell Ave
Ste 300
Milwaukee, WI 53207
Phone (414) 962-4048
Organizations & group practices 7
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.
-
- Rural Health Clinic/Center
- Greencastle, IN
- NPI 1295972412
-
- Rural Health Clinic/Center
- Bainbridge, IN
- NPI 1376601559
-
- Rural Health Clinic/Center
- Cloverdale, IN
- NPI 1578621389
-
- Rural Health Clinic/Center
- Greencastle, IN
- NPI 1699833129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1013430495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5007 S HOWELL AVE",
"address_2": "STE 350",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532076159",
"telephone_number": "262-789-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1542 S BLOOMINGTON ST",
"city": "GREENCASTLE",
"state": "IN",
"postal_code": "461352212",
"telephone_number": "765-301-7449"
}
],
"practiceLocations": [
{
"address_1": "5007 S Howell Ave Ste 350",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532076159",
"country_code": "US",
"telephone_number": "262-789-1191",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HECK",
"first_name": "NICHOLAS",
"middle_name": "CHRISTOPHER",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-18",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "3228-57",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nicholasheck@pch.allscriptsdirect.net",
"affiliation": "N",
"endpointDescription": "Direct",
"address_1": "1542 S Bloomington St",
"city": "Greencastle",
"state": "IN",
"country_code": "US",
"postal_code": "461352212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greencastle, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.