Kimberly Hescheles, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

012547 Issued in NY

Practice address

4250 Veterans Hwy
Ste 215
Holbrook, NY 11741-4035

Phone

(631) 981-5762

Fax

(631) 981-5762

NPI assigned

Mar 15, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mountainview Counseling and Psychological Services PCGroup PAC ID 8123176146, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mountainview Counseling and Psychological Services, PC

  • Psychologist
  • Holbrook, NY
  • NPI 1356475107
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202083200000",
    "number": "1184758914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 VETERANS HWY",
            "address_2": "STE 215",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414035",
            "telephone_number": "631-981-5762",
            "fax_number": "631-981-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 VETERANS HWY",
            "address_2": "STE 215",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414035",
            "telephone_number": "631-981-5762",
            "fax_number": "631-981-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESCHELES",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01625167",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joyce Ann Harris, NP
• Taylor R Henry
• Lawrence Michael Herman, PA-C, MPA
• Nancy Ellen Hertel
• Jennifer Hescheles, MSW, CSW
• Nicole Heselpoth, M.S.,CCC-SLP
• Lori Hession, RN
• Brigette Rene Hirst, RN
• Linda Hoenscheid, MS, CCC-SLP
• Holbrook Chiropractic PC

• Psychologist in Holbrook, NY
• Providers in Holbrook, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.