Heather a Byrne PHD Psychological Services LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

HEATHER A BYRNE PHD PSYCHOLOGICAL SERVICES LLC

Practice address

14135 N Cedarburg Rd
Mequon, WI 53097-1416

Phone

(262) 377-2006

NPI assigned

Aug 21, 2012

Organization subpart

No

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

Authorized official

Name

Heather A Byrne, PHDNPI 1942219589

Title

Managing Member

Phone

(414) 588-8822

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather A Byrne, PHD

  • Psychologist
  • Mequon, WI
  • NPI 1942219589
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1154679231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N49W7209 WESTERN RD",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530121711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 N CEDARBURG RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530971416",
            "telephone_number": "262-377-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER A BYRNE PHD PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-21",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "BYRNE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "414-588-8822",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rosita Heimann
• Lori A Heinrich, MD
• Benjamin Hellman
• Talia S Hellman, FNP-BC, APNP
• Sandra Henke

• Psychologist in Mequon, WI
• Providers in Mequon, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.