Individual provider Active NPI

Annamarie Lynn Heink, PSY.D.

  • Clinical Psychologist
  • New Albany, IN
National Provider Identifier
1467787705
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20043079A Issued in IN
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

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Jeffersonville, IN, CCN 150009
  • Baptist Health Floyd Hospital, New Albany, IN, CCN 150044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20043079AINMDClinical Psychologist
240421KYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibra Physicians LLC CurrentSince Nov 3, 2018 Accepting new patients
Sage Psychology Services LLC Clinical CurrentSince Jan 17, 2025 Accepting new patients
Rehabilitation Specialists of Kentuckiana PLLC Clinical CurrentSince May 1, 2020 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.

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

Verify at the official NPI Registry.