Douglas Gene Heck, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

LP1240 Issued in MN

Practice address

205 W 2ND St
Suite 437 Duluth Psychological Clinic
Duluth, MN 55802

Phone

(218) 722-2005

Fax

(218) 727-3000

NPI assigned

Nov 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

• Duluth Psychological Clinic Inc

  • Clinical Psychologist
  • Duluth, MN
  • NPI 1730243809
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053487157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST",
            "address_2": "SUITE 437 DULUTH PSYCHOLOGICAL CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-722-2005",
            "fax_number": "218-727-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 W 2ND ST",
            "address_2": "SUITE 437 DULUTH PSYCHOLOGICAL CLINIC",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55802",
            "telephone_number": "218-722-2005",
            "fax_number": "218-727-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK",
        "first_name": "DOUGLAS",
        "middle_name": "GENE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP1240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Marie Heaslet, PA-C
• Christina Ann Heazlett, MSW, LICSW
• Christopher Wayne Hebert, IDMT, HS
• Lisa M Hebl, PA-C
• Christopher F. Heck, MD
• Chelsey Heddens, OTR
• Gary James Hedin, DDS
• Jerrod Tyler Heermans, M.D.
• Aaron James Hegg, MD
• Benjamin Heggestad, D.D.S., MD

• Clinical Psychologist in Duluth, MN
• Providers in Duluth, MN by specialty
• Clinical Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.