Active NPI
Heather Marie Blumert, PSYD
- Psychologist
- Freehold, NJ
National Provider Identifier
1043852395
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 35SI00613600
- Practice address
- 509 Stillwells Corner Rd Ste 7
Freehold, NJ 07728-2965 - Phone
- (732) 683-2322
- NPI assigned
- Oct 8, 2019
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 35SI00613600 | NJ | Primary |
Addresses
Primary practice location
509 Stillwells Corner Rd Ste 7
Freehold, NJ 07728-2965
Mailing address
1 Inverness Dr
Manalapan, NJ 07726-9336
Phone (732) 673-0481
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35SI00613600 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melissa Rivera Marano, Psy.D., LLC | Current | Accepting new patients |
Locations
509 Stillwells Corner Rd
Ste 7
Freehold, NJ 07728
Phone (732) 683-2322
Organizations & group practices 1
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.
-
- Clinic/Center
- Freehold, NJ
- NPI 1831491612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570492800000",
"number": "1043852395",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 INVERNESS DR",
"city": "MANALAPAN",
"state": "NJ",
"postal_code": "077269336",
"telephone_number": "732-673-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 STILLWELLS CORNER RD STE 7",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282965",
"telephone_number": "732-683-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUMERT",
"first_name": "HEATHER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-08",
"last_updated": "2019-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NJ",
"license": "35SI00613600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.