Individual provider Active NPI

Heather Plinovich, PH.D.

  • Clinical Psychologist
  • Munster, IN
National Provider Identifier
1487998589
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
200426323A Issued in IN
Practice address
900 Ridge Rd Ste F
Munster, IN 46321-1727
Phone
(312) 884-1301
NPI assigned
Nov 15, 2012
Last updated
Apr 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008263 IL
Clinical Psychologist 103TC0700X 200426323A IN Primary

Addresses

Primary practice location

900 Ridge Rd Ste F
Munster, IN 46321-1727

Mailing address

900 Ridge Rd Ste F
Munster, IN 46321-1727
Phone (219) 228-7630

Other names 1

  • Heather Chik Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071008263ILMDClinical Psychologist
200426323AINMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Anxiety & Ocd Behavioral Health Center Clinical Current Accepting new patients

Locations

900 Ridge Rd
Ste F
Munster, IN 46321
Phone (219) 228-7630

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1487998589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD STE F",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211727",
            "telephone_number": "219-228-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 RIDGE RD STE F",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211727",
            "telephone_number": "312-884-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLINOVICH",
        "first_name": "HEATHER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008263",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "200426323A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "CHIK",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.