Carol F Heck, PHD
Individual provider Active NPI Psychologist · Bonsall, CA
NPI 1184617508 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1184617508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY12340 (CA)
- Practice address
- 31877 Paseo Lindo
Bonsall, CA 92003-4903 - Phone
- (760) 723-4159
- Fax
- (760) 645-6494
- NPI assigned
- Aug 31, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
31877 Paseo Lindo
Bonsall, CA 92003-4903
Phone (760) 723-4159
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100903000593 | CA | Practitioner - Clinical Psychologist | 0547384059 | Practice locations: Bonsall, CA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12340 | CA | MD | Mental Health Counselor |
| PSY12340 | CA | MD | Psychologist |
| RN198661 | CA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN198661 | CA | |
| Psychologist | 103T00000X | PSY12340 | CA | Yes |
Addresses
Primary practice location
31877 Paseo Lindo
Bonsall, CA 92003-4903
Mailing address
31877 Paseo Lindo
Bonsall, CA 92003-4903
Phone (760) 945-1957
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY123400 | Medicaid | CA |
Other providers in Bonsall, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.