Jennifer Heidler Gary PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

JENNIFER HEIDLER GARY PSYD LLC

Practice address

41 State Cir Ste 8
Annapolis, MD 21401-1904

Phone

(443) 924-1395

NPI assigned

Sep 25, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Elizabeth Heidler-Gary, PSYDNPI 1306237722

Title

Owner

Phone

(443) 924-1395

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer E Heidler-Gary, PSYD

  • Clinical Psychologist
  • Annapolis, MD
  • NPI 1306237722
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1215716899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 MARTINS COVE RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214095951",
            "telephone_number": "443-924-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 STATE CIR STE 8",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214011904",
            "telephone_number": "443-924-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER HEIDLER GARY PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "HEIDLER-GARY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-924-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrienne Claire Jeffries, LCSW
• David Stuart Jencks
• Betsy Bolander Jenkins, LGPC
• Lauren Nicole Jenkins, LCPC, LPC
• Tanner Larae Jenkins
• Jennifer K. Potts Therapy LLC
• Ashley Marie Jensen, BCBA
• Kaitlyn Jensen, CNM
• Jeremy S. Snow, M.D., P.a.
• Jerome Segal, M.D., P.C.

• Clinical Psychologist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.