Active NPI
Erica Willheim, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1376677542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 016628
- Practice address
- 5 W 86TH St
Suite # 1-a
New York, NY 10024-3603 - Phone
- (646) 387-1062
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- 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 | 016628 | NY | Primary |
Addresses
Primary practice location
5 W 86TH St
Suite # 1-a
New York, NY 10024-3603
Mailing address
5 W 86TH St
Suite # 1-a
New York, NY 10024-3603
Phone (646) 387-1062
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248652800000",
"number": "1376677542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 W 86TH ST",
"address_2": "SUITE # 1-A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243603",
"telephone_number": "646-387-1062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 W 86TH ST",
"address_2": "SUITE # 1-A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100243603",
"telephone_number": "646-387-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLHEIM",
"first_name": "ERICA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2009-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
- Katherine Peratis Willert, MHC
- Tracy Willet
- Willets Point Medical P.C.
- Julian Daniel Sunday Willett, MD, PHD
- Joshua Zebadiah Willey, M.D.
- William a Mullane Psychologist PC
- William a. Copen, MD, PLLC
- William Alanson White Institute of Psychiatry, Psychoanalysis & Psych (William Alanson White Institute)
- William C. Wood, M.D., PLLC
- William F Ryan Community Health Center Inc (Ryan Mobile Medical Van)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2009; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.