Active NPI
Stephen Bernard Heilman Jr., EDD PSYCHOLOGY
- Psychologist
- West Chester, OH
National Provider Identifier
1396851929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3131
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113338 | Other | MHN | |
| 024746 | Other | UMC | |
| 026053000 | Other | MAGELLAN | |
| 000000015675 | Other | ANTHEM | |
| 280210 | Other | VALUE OPTIONS | |
| 1216946 | Other | CHA | |
| 9906430 | Other | OHIO 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3131 | OH | MD | Psychologist |
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.
-
- Psychologist
- Cincinnati, OH
- NPI 1710164926
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.