Active NPI
Heidi Koller Van Horne, PSY.D,
- Family Psychologist
- New York, NY
National Provider Identifier
1427273556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- 016923
- Practice address
- 24 Union SQ E
6TH Floor
New York, NY 10003-3201 - Phone
- (646) 775-6626
- Fax
- (646) 775-6602
- NPI assigned
- Apr 16, 2007
- Last updated
- Sep 11, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 016923 | NY | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 016923 | NY | |
| Clinical Psychologist | 103TC0700X | 016923 | NY | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 016923 | NY | |
| Family Psychologist | 103TF0000X | 016923 | NY | Primary |
Addresses
Primary practice location
24 Union SQ E
6TH Floor
New York, NY 10003-3201
Mailing address
692 Knickerbocker Ave
Apt. 2R
Brooklyn, NY 11221-5355
Phone (718) 715-5992
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016923 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1427273556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "692 KNICKERBOCKER AVE",
"address_2": "APT. 2R",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112215355",
"telephone_number": "718-715-5992",
"fax_number": "646-775-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 UNION SQ E",
"address_2": "6TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033201",
"telephone_number": "646-775-6626",
"fax_number": "646-775-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN HORNE",
"first_name": "HEIDI",
"middle_name": "KOLLER",
"name_prefix": "Dr.",
"credential": "PSY.D,",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-16",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "016923",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NY",
"license": "016923",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "016923",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "016923",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "NY",
"license": "016923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.