Richard A. Heise, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

R0350 Issued in MO

Practice address

111 W Port PLZ Ste 600
Saint Louis, MO 63146-3015

Phone

(314) 399-9707

Fax

(314) 474-0119

NPI assigned

Jun 29, 2006

Last updated

Feb 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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

Specialty

Clinical Psychologist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Dr Richard Heise LLC

  • Clinical Psychologist
  • Saint Louis, MO
  • NPI 1629600085
  Medicare reassignment NPD Authorized official
• Cherese M. Alcorn, M.S.W., L.C.S.W., LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richmond Heights, MO
  • NPI 1063918811
  NPD
• SSM Rehab

  • Rehabilitation Hospital
  • Saint Louis, MO
  • NPI 1922183888
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1396773065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W PORT PLZ STE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463015",
            "telephone_number": "314-399-9707",
            "fax_number": "314-474-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 W PORT PLZ STE 600",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631463015",
            "telephone_number": "314-399-9707",
            "fax_number": "314-474-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISE",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "R0350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "497724906",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather N Heineman, PA-C
• Alexandra Heines
• Samantha Heininger
• Elizabeth Heiny, OTR/L
• Lauren Elizabeth Heinzman
• David Heisel
• Peggy Heisel
• James Robert Heisse, DC
• Jason Heisserer, EDD, MSW
• Jennifer L. Heithaus, MD

• Clinical Psychologist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.

Verify at the official NPI Registry.