Individual provider Active NPI

Thomas Heyer

  • Psychologist
  • Albany, GA
National Provider Identifier
1417378142
Registry record updated Dec 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY002546 Issued in GA
Practice address
506 N Jackson St
Albany, GA 31701-2308
Phone
(229) 889-7200
NPI assigned
Dec 24, 2013
Last updated
Dec 24, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY002546 GA Primary

Addresses

Primary practice location

506 N Jackson St
Albany, GA 31701-2308

Mailing address

506 N Jackson St
Albany, GA 31701-2308
Phone (229) 889-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PSY002546GAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Renaissance Centre, Inc. Psychologist Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1387843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387843200000",
    "number": "1417378142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 N JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012308",
            "telephone_number": "229-889-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 N JACKSON ST",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012308",
            "telephone_number": "229-889-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYER",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-24",
        "last_updated": "2013-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY002546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.