Jennifer E Heidler-Gary, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

05367 Issued in MD

Practice address

41 State Cir Ste 8
Annapolis, MD 21401-1904

Phone

(443) 924-1395

NPI assigned

Feb 6, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Clinical Psychologist

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of North Carolina PCGroup PAC ID 5092120030, 175 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Jennifer Heidler Gary PSYD LLC

  • Clinical Psychologist
  • Annapolis, MD
  • NPI 1215716899
  Medicare reassignment NPD Authorized official
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Columbia, MD
  • NPI 1518732833
  Medicare reassignment Care Compare group
• Optum Behavioral Care of North Carolina, PC

  • Counseling Psychologist
  • Eldersburg, MD
  • NPI 1306612817
  NPD
• Optum Behavioral Care of North Carolina, P.C.

  • Clinical Social Worker
  • Gulfport, MS
  • NPI 1861371718
  NPD

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1306237722",
    "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": {
        "last_name": "HEIDLER-GARY",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-06",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayley Day Hebberd, BEHAVIOR TECHNICIAN
• Jessica Heckwolf, LCMFT, LCPAT
• Bailey Hedges, LCSW-C
• Mark Alan Hedlund, PHD
• Seth David Heidlebaugh, PT, DPT
• Holly Ann Heilman, M.AC., L.AC.
• Justine Heimbuch
• James F Heins Jr., PA
• Patricia Garvin Held, PHD
• Patricia Ann Helferstay, PA-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; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.