Active NPI
Annamarie Lynn Heink, PSY.D.
- Clinical Psychologist
- New Albany, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20043079A
- Practice address
- 3104 Blackiston Blvd
New Albany, IN 47150-9570 - Phone
- (502) 589-8600
- Fax
- (502) 589-8771
- NPI assigned
- Oct 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 240421 | KY | |
| Rehabilitation Counselor | 225C00000X | |||
| Clinical Psychologist | 103TC0700X | 20043079A | IN | Primary |
Addresses
Primary practice location
3104 Blackiston Blvd
New Albany, IN 47150-9570
Mailing address
3104 Blackiston Blvd
New Albany, IN 47150-9570
Other names 1
- Annamarie Lynn Elmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181211003307 | IN | Practitioner - Clinical Psychologist | 8921342353 | Reassigns benefits to 3 organizations |
| I20190218002703 | KY | Practitioner - Clinical Psychologist | 8921342353 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2101 Broadway St
Clarksville, IN 47129-7800
Phone (502) 475-9960
7801 New la Grange Rd
Louisville, KY 40222-4715
Phone (502) 475-9960
Hospital & facility affiliations
- Norton Clark Hospital
- Baptist Health Floyd
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20043079A | IN | MD | Clinical Psychologist |
| 240421 | KY | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vibra Physicians LLC | Current | Accepting new patients | |
| Sage Psychology Services LLC | Clinical | Current | Accepting new patients |
| Rehabilitation Specialists of Kentuckiana PLLC | Clinical | Current | Accepting new patients |
Locations
2101 Broadway St
Clarksville, IN 47129
Phone (502) 365-4151
9509 Georgia St
Crown Point, IN 46307
Phone (219) 472-2200
3104 Blackiston Blvd
New Albany, IN 47150
Phone (502) 551-8305
8081 Royal Ridge Pkwy
Ste 120
Irving, TX 75063
Organizations & group practices 3
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.
-
- Physical Medicine & Rehabilitation Physician
- Louisville, KY
- NPI 1134761653
Clinical, IN, KY
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540339200000",
"number": "1467787705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3104 BLACKISTON BLVD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3104 BLACKISTON BLVD",
"city": "NEW ALBANY",
"state": "IN",
"postal_code": "471509570",
"telephone_number": "502-589-8600",
"fax_number": "502-589-8771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINK",
"first_name": "ANNAMARIE",
"middle_name": "LYNN",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-05",
"last_updated": "2018-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "240421",
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20043079A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNAMARIE",
"last_name": "ELMER",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Albany, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.