Individual provider Active NPI

William Lawrence Heard, PSY.D.

  • Clinical Psychologist
  • Crown Point, IN
National Provider Identifier
1407474257
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20043390A Issued in IN
Practice address
10428 Privet Dr
Crown Point, IN 46307-5383
Phone
(219) 202-8747
Fax
(219) 301-8748
NPI assigned
Jul 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X
Health Service Psychologist 103TH0100X
Clinical Psychologist 103TC0700X 20043390A IN Primary

Addresses

Primary practice location

10428 Privet Dr
Crown Point, IN 46307-5383

Mailing address

10428 Privet Dr
Crown Point, IN 46307-5383
Phone (219) 202-8747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20201005002397 IN Practitioner - Clinical Psychologist 3577982982 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

916 Wynterbrooke Dr
Kokomo, IN 46901-7745
Phone (800) 567-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20043390AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Life Inc. CurrentSince Dec 1, 2024 Accepting new patients
Total Life FL PA Clinical CurrentSince Sep 1, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 13, 2021 Accepting new patients
Heard Psychotherapy Clinical CurrentSince Mar 1, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Psychologist Current Accepting new patients

Locations

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479

333 N Alabama St
Ste 350
Indianapolis, IN 46204
Phone (317) 983-0002

9111 Broadway
Ste Ll
Merrillville, IN 46410

Interoperability endpoints

  • Direct secure messaging: williamheard@tdh.allscriptsdirect.net

Organizations & group practices 5

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": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1407474257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10428 PRIVET DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075383",
            "telephone_number": "219-202-8747",
            "fax_number": "219-301-8748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10428 PRIVET DR",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463075383",
            "telephone_number": "219-202-8747",
            "fax_number": "219-301-8748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "WILLIAM",
        "middle_name": "LAWRENCE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043390A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.