Individual provider Active NPI

Heather Ann Macleod, ED.D.

  • Psychologist
  • Laurence Harbor, NJ
National Provider Identifier
1447279690
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3561 Issued in NJ
Practice address
106 Bayview Dr
Laurence Harbor, NJ 08879-2823
Phone
(908) 688-5215
NPI assigned
Jul 19, 2006
Last updated
Nov 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3561 NJ Primary

Addresses

Primary practice location

106 Bayview Dr
Laurence Harbor, NJ 08879-2823

Mailing address

106 Bayview Dr
Laurence Harbor, NJ 08879-2823
Phone (908) 688-5215

Other identifiers 3

IdentifierTypeStateIssuer
0005094661OtherNJAETNA HEALTH CARE
7479905MedicaidNJ
22-3571543OtherNJCORPORATION ID

Other names 1

  • Ms. Heather Ann McCoy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050524000075 NJ Practitioner - Clinical Psychologist 9234171935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

106 Bayview Dr
Laurence Harbor, NJ 08879-2823
Phone (908) 688-5215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3561NJMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heather Macleod, Ed.D., P.C. Psychologist CurrentSince Mar 1, 2007 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": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1447279690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BAYVIEW DR",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792823",
            "telephone_number": "908-688-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 BAYVIEW DR",
            "city": "LAURENCE HARBOR",
            "state": "NJ",
            "postal_code": "088792823",
            "telephone_number": "908-688-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NJ",
            "license": "3561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH CARE",
            "identifier": "0005094661",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7479905",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATION ID",
            "identifier": "22-3571543",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MCCOY",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Laurence Harbor, NJ

Sources for this page

Verify at the official NPI Registry.