Active NPI
Craig Heacock, M.D.
- Psychiatry Physician
- Fort Collins, CO
National Provider Identifier
1194834952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43403
- Practice address
- 4601 Corbett Dr
Fort Collins, CO 80528-9579 - Phone
- (970) 207-4800
- Fax
- (970) 207-4805
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 43403 | CO | Primary |
Addresses
Primary practice location
4601 Corbett Dr
Fort Collins, CO 80528-9579
Mailing address
4601 Corbett Dr
Fort Collins, CO 80528-9579
Phone (970) 207-4800
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43403 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1194834952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 CORBETT DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805289579",
"telephone_number": "970-207-4800",
"fax_number": "970-207-4805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 CORBETT DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805289579",
"telephone_number": "970-207-4800",
"fax_number": "970-207-4805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEACOCK",
"first_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "43403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.