Individual provider Active NPI

Heidi Scales, ED.S.

  • School Psychologist
  • Fort Wayne, IN
National Provider Identifier
1316766132
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1600630 Issued in IN
Practice address
5004 Homestead Rd
Fort Wayne, IN 46814-5465
Phone
(260) 431-2128
NPI assigned
Oct 8, 2024
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1600630 IN Primary

Addresses

Primary practice location

5004 Homestead Rd
Fort Wayne, IN 46814-5465

Mailing address

5004 Homestead Rd
Fort Wayne, IN 46814-5465
Phone (260) 431-2128

Other practice location 1

4725 Weatherside Run
Fort Wayne, IN 46804-6544
Phone (260) 431-2957

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
1600630INMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1728345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1316766132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 HOMESTEAD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468145465",
            "telephone_number": "260-431-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 HOMESTEAD RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468145465",
            "telephone_number": "260-431-2128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4725 Weatherside Run",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468046544",
            "country_code": "US",
            "telephone_number": "260-431-2957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCALES",
        "first_name": "HEIDI",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-08",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "1600630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.