Active NPI
M.a.Heilman,PHD., LLC
- Rehabilitation Hospital
- Warren, OH
National Provider Identifier
1457772287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 5061
- Legal business name
- M.A.HEILMAN,PHD., LLC
- Practice address
- 8747 Squires Lane NE
Hillside Rehabilitation Hospital
Warren, OH 44484 - Phone
- (330) 841-3884
- Fax
- (330) 841-3514
- NPI assigned
- Dec 20, 2013
- Last updated
- Dec 20, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael A. Hei, PH.D.
- Title
- Psychologist/Owner
- Phone
- (330) 841-3884
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 5061 | OH | Primary |
Addresses
Primary practice location
8747 Squires Lane NE
Hillside Rehabilitation Hospital
Warren, OH 44484
Mailing address
4949 McCleary Jacoby Road
Maheilman,PHD., LLC
Cortland, OH 44410
Phone (330) 841-3884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2083516 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387497600000",
"number": "1457772287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4949 MCCLEARY JACOBY ROAD",
"address_2": "MAHEILMAN,PHD., LLC",
"city": "CORTLAND",
"state": "OH",
"postal_code": "44410",
"telephone_number": "330-841-3884",
"fax_number": "330-841-3514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8747 SQUIRES LANE NE",
"address_2": "HILLSIDE REHABILITATION HOSPITAL",
"city": "WARREN",
"state": "OH",
"postal_code": "44484",
"telephone_number": "330-841-3884",
"fax_number": "330-841-3514"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "M.A.HEILMAN,PHD., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-20",
"last_updated": "2013-12-20",
"status": "A",
"authorized_official_last_name": "HEI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
"authorized_official_telephone_number": "330-841-3884",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "OH",
"license": "5061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2083516",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.