Active NPI
Heather Elizabeth Parrillo
- School Psychologist
- Crown Point, IN
National Provider Identifier
1124996749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 1058177
- Practice address
- 11319 Randolph St
Crown Point, IN 46307-8612 - Phone
- (219) 663-3010
- NPI assigned
- Oct 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 1058177 | IN | Primary |
Addresses
Primary practice location
11319 Randolph St
Crown Point, IN 46307-8612
Mailing address
11319 Randolph St
Crown Point, IN 46307-8612
Phone (219) 663-3010
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 |
|---|---|---|---|
| 1058177 | IN | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1124996749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11319 RANDOLPH ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078612",
"telephone_number": "219-663-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11319 RANDOLPH ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078612",
"telephone_number": "219-663-3010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRILLO",
"first_name": "HEATHER",
"middle_name": "ELIZABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-27",
"last_updated": "2025-10-27",
"certification_date": "2025-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "IN",
"license": "1058177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.