Individual provider Active NPI

Nicholas Christopher Heck, PH.D.

  • Clinical Psychologist
  • Greencastle, IN
National Provider Identifier
1013430495
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3228-57 Issued in WI
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

Updated by the provider on Mar 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address nicholasheck@pch.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
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 HospitalGroup PAC ID 1951396605, 46 clinicians

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 100Reported as group
Promoting interoperability
97
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3228-57WIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital CurrentSince Oct 21, 2018 Accepting new patients
Cornerstone Counseling Services, Inc CurrentSince Jul 25, 2017 Accepting new patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital Current Accepting new patients
Putnam County Hospital CurrentSince Oct 21, 2018 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.

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

Verify at the official NPI Registry.