Individual provider Active NPI

Stephen Bernard Heilman Jr., EDD PSYCHOLOGY

  • Psychologist
  • West Chester, OH
National Provider Identifier
1396851929
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3131 Issued in OH
Practice address
9900 Cincinnati Columbus Rd
West Chester, OH 45241-1209
Phone
(513) 779-9955
Fax
(513) 779-0160
NPI assigned
Aug 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3131 OH Primary

Addresses

Primary practice location

9900 Cincinnati Columbus Rd
West Chester, OH 45241-1209

Mailing address

9900 Cincinnati Columbus Rd
West Chester, OH 45241-1209
Phone (513) 779-9955

Other identifiers 7

IdentifierTypeStateIssuer
113338OtherMHN
024746OtherUMC
026053000OtherMAGELLAN
000000015675OtherANTHEM
280210OtherVALUE OPTIONS
1216946OtherCHA
9906430OtherOHIO BUREAU WORKERS COMP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120806000681 OH Practitioner - Clinical Psychologist 7012940257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Cincinnati College of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9900 Cincinnati Columbus Rd
West Chester, OH 45241-1209
Phone (513) 779-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3131OHMDPsychologist

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599004800000",
    "number": "1396851929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452411209",
            "telephone_number": "513-779-9955",
            "fax_number": "513-779-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9900 CINCINNATI COLUMBUS RD",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "452411209",
            "telephone_number": "513-779-9955",
            "fax_number": "513-779-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILMAN",
        "first_name": "STEPHEN",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "EDD PSYCHOLOGY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "113338",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMC",
            "identifier": "024746",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "026053000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000015675",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "280210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA",
            "identifier": "1216946",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BUREAU WORKERS COMP",
            "identifier": "9906430",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

Verify at the official NPI Registry.