Douglas J. Van Der Heide, M.D. LLP

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

131230 Issued in NY

Legal business name

DOUGLAS J. VAN DER HEIDE, M.D. LLP

Practice address

7 E 85TH St Apt B
New York, NY 10028-0442

Phone

(212) 920-5228

NPI assigned

Oct 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Douglas John Van Der Heide, MDNPI 1831168624

Title

President

Phone

(212) 920-5228

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas J Van Der Heide

  • Psychiatry Physician
  • Nyc, NY
  • NPI 1831168624
  Medicare reassignment NPD Authorized official
• Sapna Pandya, D.P.M.

  • Podiatrist
  • New York, NY
  • NPI 1194801142
  NPD (past)

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1457651614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 85TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280412",
            "telephone_number": "212-920-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E 85TH ST APT B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280442",
            "telephone_number": "212-920-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J. VAN DER HEIDE, M.D. LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "VAN DER HEIDE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-920-5228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "131230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas B. Friedrich, MD, P. C.
• Douglas B. Friedrich, MD, P.C.
• Douglas B. Seckendorf DC PC
• Douglas H Bailyn, MD, PC
• Douglas J Vander Heide MDPC
• Douglas Psychotherapy Services, LCSW, PC
• Barbara Douglas-Lindo, EDM
• Angela Douglas-Staley, RN, NP
• Barbara V Douglas, PT
• Brett Douglas, PHARMD

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.