Individual provider Active NPI

Heidy Aneika Lora

  • Clinical Psychologist
  • Philadelphia, PA
National Provider Identifier
1215703962
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6002338 Issued in ZZ
Practice address
3803 N 5TH St
Philadelphia, PA 19140-3337
Phone
(215) 539-2473
NPI assigned
Dec 4, 2023
Last updated
Dec 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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 6002338 ZZ Primary

Addresses

Primary practice location

3803 N 5TH St
Philadelphia, PA 19140-3337

Mailing address

43 Monroe Dr Apt 2
Maple Shade, NJ 08052-7436
Phone (856) 308-5569

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

State licenses

LicenseStateTypeSpecialty
6002338ZZMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Wellness Group Inc CurrentSince Dec 10, 2023 Accepting new patients
Northeast Community Mental Health Center, Inc. PastSince Dec 10, 2023 Accepting new patients

Locations

3803 N 5th St
Philadelphia, PA 19140
Phone (215) 229-4357

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.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1215703962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 MONROE DR APT 2",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080527436",
            "telephone_number": "856-308-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3803 N 5TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191403337",
            "telephone_number": "215-539-2473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORA",
        "first_name": "HEIDY",
        "middle_name": "ANEIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "ZZ",
            "license": "6002338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

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

Verify at the official NPI Registry.