Organization Active NPI

M.a.Heilman,PHD., LLC

  • Rehabilitation Hospital
  • Warren, OH
National Provider Identifier
1457772287
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
License
5061 Issued in OH
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2083516MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.