Individual provider Active NPI

Heather F McCain, PSY.D.

  • Clinical Psychologist
  • Greensboro, NC
National Provider Identifier
1194999060
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3541 Issued in NC
Practice address
5509B W Friendly Ave
Suite 106
Greensboro, NC 27410-4270
Phone
(336) 272-0855
Fax
(336) 272-9885
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 3541 NC Primary

Addresses

Primary practice location

5509B W Friendly Ave
Suite 106
Greensboro, NC 27410-4270

Mailing address

5509B W Friendly Ave
Suite 106
Greensboro, NC 27410-4270
Phone (336) 272-0855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20090709000167 NC Practitioner - Clinical Psychologist 1850443607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Psychological Associates PAGroup PAC ID 3678587995, 4 clinicians

Practice addresses (Care Compare)

1501 Highwoods Blvd
Suite 101
Greensboro, NC 27410-2051
Phone (336) 272-0855

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3541NCMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Psychological Associates, P.a. Clinical CurrentSince Jul 1, 2009 Accepting new patients

Locations

5509B W Friendly Ave
Ste 106
Greensboro, NC 27410
Phone (336) 272-0855

1501 Highwoods Blvd
Ste 101
Greensboro, NC 27410
Phone (336) 272-0855

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1194999060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509B W FRIENDLY AVE",
            "address_2": "SUITE 106",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104270",
            "telephone_number": "336-272-0855",
            "fax_number": "336-272-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5509B W FRIENDLY AVE",
            "address_2": "SUITE 106",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104270",
            "telephone_number": "336-272-0855",
            "fax_number": "336-272-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "HEATHER",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.