Individual provider Active NPI

Michael Heptig, PSYD

  • Psychologist
  • Brick, NJ
National Provider Identifier
1376907550
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
35SI00599500 Issued in NJ
Practice address
1608 Route 88
Brick, NJ 08724-3009
Phone
(800) 774-5516
Fax
(856) 429-4755
NPI assigned
Apr 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychologist 103T00000X 35SI00599500 NJ Primary

Addresses

Primary practice location

1608 Route 88
Brick, NJ 08724-3009

Mailing address

1255 Caldwell Rd
Cherry Hill, NJ 08034-3220
Phone (800) 774-5516

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20181115001240 NJ Practitioner - Clinical Psychologist 1951655620 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsychology and Counseling Associates, LLCGroup PAC ID 4880689298, 15 clinicians

Practice addresses (Care Compare)

1683 Route 88
Suite a
Brick, NJ 08724-3072
Phone (732) 840-5266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00599500NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology & Counseling Associates, LLC Psychologist CurrentSince Feb 19, 2020 Accepting new patients

Locations

1683 Route 88 W
Ste A
Brick, NJ 08724
Phone (732) 840-5266

4 Paragon Way
Ste 350
Freehold, NJ 07728
Phone (212) 262-0741

3820 River Rd
Point Pleasant Boro, NJ 08742
Phone (732) 840-5266

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1376907550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 CALDWELL RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343220",
            "telephone_number": "800-774-5516",
            "fax_number": "856-429-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 ROUTE 88",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087243009",
            "telephone_number": "800-774-5516",
            "fax_number": "856-429-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPTIG",
        "first_name": "MICHAEL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-13",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "35SI00599500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brick, NJ

Sources for this page

Verify at the official NPI Registry.