Active NPI
Heather Pleickhardt, PHD
- Clinical Psychologist
- Boynton Beach, FL
National Provider Identifier
1184084915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY9693
- Practice address
- 112 Newlake Dr
Boynton Beach, FL 33426-5472 - Phone
- (516) 473-8009
- NPI assigned
- Mar 7, 2016
- Last updated
- Aug 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 021352 | NY | |
| Clinical Psychologist | 103TC0700X | PY9693 | FL | Primary |
Addresses
Primary practice location
112 Newlake Dr
Boynton Beach, FL 33426-5472
Mailing address
112 Newlake Dr
Boynton Beach, FL 33426-5472
Phone (516) 473-8009
Other practice location 1
165 N Village Ave
Suite 200
Rockville Centre, NY 11570-3761
Phone (516) 255-4100
Other practice location 2
817 N Dixie Hwy
Pompano Beach, FL 33060-5621
Phone (954) 785-8285 ext. 1010
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY9693 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients | |
| On Course Psychological Counseling P.C. | Past | Accepting new patients |
Interoperability endpoints
- heatherpleickhardt@tdh.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Psychologist
- Rockville Centre, NY
- NPI 1356788749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629936000000",
"number": "1184084915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 NEWLAKE DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334265472",
"telephone_number": "516-473-8009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 NEWLAKE DR",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334265472",
"telephone_number": "516-473-8009"
}
],
"practiceLocations": [
{
"address_1": "165 N Village Ave",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Rockville Centre",
"state": "NY",
"postal_code": "115703761",
"country_code": "US",
"telephone_number": "516-255-4100",
"fax_number": "516-255-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "817 N Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Pompano Beach",
"state": "FL",
"postal_code": "330605621",
"country_code": "US",
"telephone_number": "954-785-8285 x1010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PLEICKHARDT",
"first_name": "HEATHER",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2021-08-26",
"certification_date": "2021-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "021352",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY9693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boynton Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.