Individual provider Active NPI

Andrew Lee Heck, PSY.D.

  • Clinical Psychologist
  • Midlothian, VA
National Provider Identifier
1366537672
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002923 Issued in VA
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

Updated by the provider on Sep 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0810002923OtherVAVA PSYCHOLOGY LICENSE
7712260MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160627001853 VA Practitioner - Clinical Psychologist 1951692839 Reassigns benefits to 1 organization

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
Geropartners LLCGroup PAC ID 3072804954, 2 clinicians

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

LicenseStateTypeSpecialty
0810002923VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Geropartners LLC CurrentSince Mar 30, 2016 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.

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

Verify at the official NPI Registry.