Active NPI
Andrew Lee Heck, PSY.D.
- Clinical Psychologist
- Midlothian, VA
National Provider Identifier
1366537672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002923
- Practice address
- 1 Park West Cir Ste 102
Midlothian, VA 23114-5552 - Phone
- (804) 993-4304
- Fax
- (855) 998-4376
- NPI assigned
- Oct 3, 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810002923 | VA | Primary |
Addresses
Primary practice location
1 Park West Cir Ste 102
Midlothian, VA 23114-5552
Mailing address
1 Park West Cir Ste 102
Midlothian, VA 23114-5552
Phone (804) 993-4304
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810002923 | Other | VA | VA PSYCHOLOGY LICENSE |
| 7712260 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Park W Cir
Suite 102
Midlothian, VA 23114-5552
Phone (804) 993-4304
1 Park W Circle
Suite 102
Midlothian, VA 23114-5552
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002923 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geropartners LLC | Current | Accepting new patients |
Locations
1 Park West Cir
Ste 102
Midlothian, VA 23114
Phone (804) 993-4304
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Chesterfield, VA
- NPI 1710360169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1366537672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARK WEST CIR STE 102",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231145552",
"telephone_number": "804-993-4304",
"fax_number": "855-998-4376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARK WEST CIR STE 102",
"city": "MIDLOTHIAN",
"state": "VA",
"postal_code": "231145552",
"telephone_number": "804-993-4304",
"fax_number": "855-998-4376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECK",
"first_name": "ANDREW",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002923",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA PSYCHOLOGY LICENSE",
"identifier": "0810002923",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7712260",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.