NPIMap

Organization Active NPI

Heather McDermott PSYD PLLC

  • Psychologist
  • Port Austin, MI
National Provider Identifier
1023518057
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HEATHER MCDERMOTT PSYD PLLC
Practice address
2143 Cliff Rd
Port Austin, MI 48467-9261
Phone
(808) 285-4776
NPI assigned
Feb 16, 2018
Last updated
Mar 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Dr. Heather McDermott, PSYDNPI 1023458791
Title
Owner
Phone
(808) 285-4776

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

2143 Cliff Rd
Port Austin, MI 48467-9261

Mailing address

PO Box 25052
Honolulu, HI 96825-0052
Phone (808) 285-4776

National Provider Directory

National Provider Directory

Locations

1188 Bishop St
Ste 2101
Honolulu, HI 96813
Phone (808) 224-8436

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1023518057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25052",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250052",
            "telephone_number": "808-285-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2143 CLIFF RD",
            "city": "PORT AUSTIN",
            "state": "MI",
            "postal_code": "484679261",
            "telephone_number": "808-285-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER MCDERMOTT PSYD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-16",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-285-4776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Austin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.