Active NPI
John Gabriel Heger, PSY.S LLP
- Psychologist
- Plymouth, MI
National Provider Identifier
1275697369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361007168
- Practice address
- 1308 S Main St
Plymouth, MI 48170-2253 - Phone
- (734) 451-3440
- Fax
- (734) 451-8720
- NPI assigned
- Dec 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6361007168 | MI | Primary |
Addresses
Primary practice location
1308 S Main St
Plymouth, MI 48170-2253
Mailing address
10839 Charring Cross Cir
Whitmore Lake, MI 48189-9100
Phone (734) 223-3284
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361007168 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1275697369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10839 CHARRING CROSS CIR",
"city": "WHITMORE LAKE",
"state": "MI",
"postal_code": "481899100",
"telephone_number": "734-223-3284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1308 S MAIN ST",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481702253",
"telephone_number": "734-451-3440",
"fax_number": "734-451-8720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEGER",
"first_name": "JOHN",
"middle_name": "GABRIEL",
"name_prefix": "Mr.",
"credential": "PSY.S LLP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-21",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361007168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.