Individual provider Active NPI

Heather Rimstidt, PHD, NCSP, HSPP

  • Psychologist
  • Columbus, IN
National Provider Identifier
1356161384
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
20043506B Issued in IN
Practice address
1200 Central Ave
Columbus, IN 47201-6001
Phone
(812) 376-4489
NPI assigned
Oct 15, 2024
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 20043506B IN Primary
School Psychologist 103TS0200X 16134842 IN

Addresses

Primary practice location

1200 Central Ave
Columbus, IN 47201-6001

Mailing address

540 S Fieldstone Blvd
Bloomington, IN 47403-8962
Phone (847) 848-6614

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
20043506BINMDPsychologist
16134842INMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1728950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1356161384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 S FIELDSTONE BLVD",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474038962",
            "telephone_number": "847-848-6614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CENTRAL AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472016001",
            "telephone_number": "812-376-4489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIMSTIDT",
        "first_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "PHD, NCSP, HSPP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-15",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IN",
            "license": "20043506B",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "16134842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.