Individual provider Active NPI

Michelle Heffner Macera, PH.D.

  • Psychologist
  • Plano, TX
National Provider Identifier
1346817731
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
38918 Issued in TX
Practice address
5601 Democracy Dr
Plano, TX 75024-3687
Phone
(940) 765-9029
NPI assigned
Jun 5, 2021
Reactivated
Jul 13, 2023
Last updated
Apr 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY-2112 HI
Psychologist 103T00000X PY0549 NV
Psychologist 103T00000X 38918 TX Primary

Addresses

Primary practice location

5601 Democracy Dr
Plano, TX 75024-3687

Mailing address

3520 Wilshire Way Apt 4114
Richardson, TX 75082-0264
Phone (469) 783-3545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY-2112HIMDPsychologist
PY0549NVMDPsychologist
38918TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1346817731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 WILSHIRE WAY APT 4114",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750820264",
            "telephone_number": "469-783-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 DEMOCRACY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750243687",
            "telephone_number": "940-765-9029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACERA",
        "first_name": "MICHELLE",
        "middle_name": "HEFFNER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-05",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "deactivation_date": "2021-07-14",
        "reactivation_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "PSY-2112",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NV",
            "license": "PY0549",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "38918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.