Active NPI
Mary Heim
- School Psychologist
- Newark, DE
National Provider Identifier
1487824348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 12556
- Practice address
- 200 Tyre Ave
Newark, DE 19711-7136 - Phone
- (302) 454-2047
- Fax
- (302) 454-5443
- NPI assigned
- Mar 7, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 12556 | DE | Primary |
Addresses
Primary practice location
200 Tyre Ave
Newark, DE 19711-7136
Mailing address
200 Tyre Ave
Newark, DE 19711-7136
Phone (302) 454-2047
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000038516 | Medicaid | DE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12556 | DE | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204848000000",
"number": "1487824348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 TYRE AVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117136",
"telephone_number": "302-454-2047",
"fax_number": "302-454-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 TYRE AVE",
"city": "NEWARK",
"state": "DE",
"postal_code": "197117136",
"telephone_number": "302-454-2047",
"fax_number": "302-454-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIM",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-07",
"last_updated": "2008-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "DE",
"license": "12556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000038516",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.