Andiea Hedayat-Harris, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012882-1 Issued in NY

Practice address

2215 N Central Rd
Apt. 4G
Fort Lee, NJ 07024-7551

Phone

(201) 585-8720

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Andiea Hedayat-Harris Professional name

Medicare fee-for-service enrollment

Enrolled in NY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Che Senior Psychological Services, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1023078219
  Medicare reassignment NPD
• Knapp Street Psychiatry, PC

  • Clinical Psychologist
  • Brooklyn, NY
  • NPI 1043248776
  Medicare reassignment NPD
• NJ Behavioral Health Services PC

  • Clinical Psychologist
  • Paramus, NJ
  • NPI 1447289376
  NPD

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500336000000",
    "number": "1104042431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 NORTH CENTRAL ROAD APT 4G",
            "address_2": "FORT LEE",
            "city": "NEW JERSEY",
            "state": "NJ",
            "postal_code": "070240702",
            "telephone_number": "201-585-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 N CENTRAL RD",
            "address_2": "APT. 4G",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247551",
            "telephone_number": "201-585-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDAYAT-HARRIS",
        "first_name": "ANDIEA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012882-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02423747",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDIEA",
            "last_name": "HEDAYAT-HARRIS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gerda Hartl, M.D.
• Susan B Haskell, MSW
• Gunnar Hasselgren, DDS, PHD
• Pan He
• Health and Behavior LLC
• David H Henick, M.D.
• Dorothy Henick, P.T.
• Jennifer Schaefer Hepsen, D.P.T.
• Herbert Counseling and Psychotherapy LLC
• Gina Otilia Heredea, P.T.

• Clinical Psychologist in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.