Jeanne M Heiple, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

73660 Issued in MA

Practice address

1105 Massachusetts Ave Apt 1D
Cambridge, MA 02138-5207

Phone

(617) 576-0868

NPI assigned

Jan 22, 2007

Last updated

Aug 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503792000000",
    "number": "1437202470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 MASSACHUSETTS AVE APT 1D",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385207",
            "telephone_number": "617-576-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MASSACHUSETTS AVE APT 1D",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385207",
            "telephone_number": "617-576-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIPLE",
        "first_name": "JEANNE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2017-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "73660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3123081",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "J14772",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura M Heideman, LICSW
• Irvin N Heifetz, MD
• Lindsay Heightman
• Claire Marie Heinegg, OTR/L
• Jennifer Heinen, RD
• Jeffrey Alan Held, MD
• Caroline L Helfman
• Howard Mark Heller, MD
• Jenny F Heller, M.D.
• Caroline JC Hellman, PH.D.

• Psychiatry Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2017; 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.

Verify at the official NPI Registry.