Active NPI
Brad Robert Heinz, PH D
- Psychologist
- Pittsboro, NC
National Provider Identifier
1467430348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1478
- Practice address
- 1556 Lamont Norwood Rd
Pittsboro, NC 27312-7194 - Phone
- (919) 929-8379
- NPI assigned
- Jan 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1478 | NC | Primary |
Addresses
Primary practice location
1556 Lamont Norwood Rd
Pittsboro, NC 27312-7194
Mailing address
1556 Lamont Norwood Rd
Pittsboro, NC 27312-7194
Phone (919) 929-8379
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6000777 | Medicaid | NC | |
| 0358A | Other | NC | BLUE CROSS BLUE SHIELD OF NORTH CAROLINA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1478 | NC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth Development Corporation of America | Past | Accepting new patients | |
| Youth Development Corporation of America | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Pittsboro, NC
- NPI 1336280270
-
- Community/Behavioral Health Agency
- Henderson, NC
- NPI 1629023569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1467430348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1556 LAMONT NORWOOD RD",
"city": "PITTSBORO",
"state": "NC",
"postal_code": "273127194",
"telephone_number": "919-929-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1556 LAMONT NORWOOD RD",
"city": "PITTSBORO",
"state": "NC",
"postal_code": "273127194",
"telephone_number": "919-929-8379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZ",
"first_name": "BRAD",
"middle_name": "ROBERT",
"credential": "PH D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-03",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "1478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6000777",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF NORTH CAROLINA",
"identifier": "0358A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.