Individual provider Active NPI

Heidi Bechtoldt Baldacci, PHD

  • Psychologist
  • Lancaster, PA
National Provider Identifier
1376709386
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016480 Issued in PA
Practice address
1741 Conard Rd
Lancaster, PA 17602-1371
Phone
(717) 824-7661
NPI assigned
Jul 30, 2008
Last updated
Aug 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 017612 NY
Psychologist 103T00000X PS016480 PA Primary

Addresses

Primary practice location

1741 Conard Rd
Lancaster, PA 17602-1371

Mailing address

1741 Conard Rd
Lancaster, PA 17602-1371
Phone (717) 824-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20080926000098 PA Practitioner - Clinical Psychologist 4385711720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1741 Conard Rd
Lancaster, PA 17602-1371
Phone (717) 824-7661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS016480PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Baldacci Behavioral Health, LLC CurrentSince Jul 6, 2022 Accepting new patients

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, 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": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1376709386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 CONARD RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021371",
            "telephone_number": "717-824-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 CONARD RD",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021371",
            "telephone_number": "717-824-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDACCI",
        "first_name": "HEIDI",
        "middle_name": "BECHTOLDT",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "017612",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.