Individual provider Active NPI

Nicholas Gregory Heyne, M.D.

  • Psychiatry Physician
  • Irving, TX
National Provider Identifier
1356662118
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
Q8505 Issued in TX
Practice address
580 Decker Dr Ste 260
Irving, TX 75062-2306
Phone
(972) 891-9217
Fax
(888) 272-1333
NPI assigned
Jun 16, 2010
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X Q8505 TX Primary

Addresses

Primary practice location

580 Decker Dr Ste 260
Irving, TX 75062-2306

Mailing address

580 Decker Dr Ste 260
Irving, TX 75062-2306
Phone (972) 891-9217

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: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective May 30, 2018 through May 30, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q8505TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Family Psychiatry PLLC Psychiatry CurrentSince Mar 28, 2021 Accepting new patients
Restore Brain, PLLC Past Accepting new patients

Locations

580 Decker Dr
Ste 260
Irving, TX 75062
Phone (214) 310-0346

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1356662118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 DECKER DR STE 260",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622306",
            "telephone_number": "972-891-9217",
            "fax_number": "888-272-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 DECKER DR STE 260",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750622306",
            "telephone_number": "972-891-9217",
            "fax_number": "888-272-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYNE",
        "first_name": "NICHOLAS",
        "middle_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "Q8505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.