Heather L Dermyer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014186 Issued in MI

Practice address

12935 S West Bay Shore Dr Ste 220
Traverse City, MI 49684-5470

Phone

(231) 590-7184

Fax

(231) 252-4042

NPI assigned

Jul 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Heather Dermyer, LLC

  • Psychologist
  • Grand Rapids, MI
  • NPI 1851748768
  NPD (past) Authorized official
• Steven G. Hamming, Psy.D., PC

  • Clinical Psychologist
  • Grand Rapids, MI
  • NPI 1386774396
  NPD (past)

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1114230786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 S WEST BAY SHORE DR STE 220",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845470",
            "telephone_number": "231-590-7184",
            "fax_number": "231-252-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12935 S WEST BAY SHORE DR STE 220",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496845470",
            "telephone_number": "231-590-7184",
            "fax_number": "231-252-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERMYER",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-23",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301014186",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Denoyer
• Dentistry for Northern Michigan PLLC
• Isabelle Anne Depa, RN
• Alisha Deponio, AGACNP-BC
• Derek Rice DDS PLLC
• Rebecca Ann Derocha, MA, LPC, CAAC-R
• Barbara Deroshia
• Leah Derris
• Sara K Devaun, P.T.
• Nicole Devol, LLPC

• Clinical Psychologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.