Active NPI
Richard Jay Heller, M.D.
- Psychiatry Physician
- North Andover, MA
National Provider Identifier
1356401723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 46668
- Practice address
- 471 Andover St
North Andover, MA 01845-5036 - Phone
- (978) 725-8900
- Fax
- (978) 327-5205
- NPI assigned
- Dec 8, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 46668 | MA | Primary |
Addresses
Primary practice location
471 Andover St
North Andover, MA 01845-5036
Mailing address
35 Sherman St
Cambridge, MA 02138-6730
Phone (617) 576-0044
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334604 | Other | MA | MAGELLAN BEHAVIORAL HEALT |
| B47184 | Other | MA | BLUE CROSS BLUE SHIELD |
| 011256 | Other | MA | HARVARD PILGRIM HEALTH CA |
| 0156469 | Medicaid | MA | |
| 706760 | Other | MA | TUFTS HEALTH CARE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46668 | MA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356401723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 SHERMAN ST",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021386730",
"telephone_number": "617-576-0044",
"fax_number": "978-327-5205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "471 ANDOVER ST",
"city": "NORTH ANDOVER",
"state": "MA",
"postal_code": "018455036",
"telephone_number": "978-725-8900",
"fax_number": "978-327-5205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "RICHARD",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "46668",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "334604",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "B47184",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH CA",
"identifier": "011256",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156469",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH CARE",
"identifier": "706760",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Andover, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.