Active NPI
Dara Heinlein, NPP
- Psychiatric/Mental Health Nurse Practitioner
- Maplewood, NJ
National Provider Identifier
1497861678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- F400968
- Practice address
- 515 Valley St Ste 203
Maplewood, NJ 07040-4300 - Phone
- (908) 663-2929
- Fax
- (902) 219-6213
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F4009681 | NY | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | F400968 | NY | Primary |
Addresses
Primary practice location
515 Valley St Ste 203
Maplewood, NJ 07040-4300
Mailing address
185 Green Street
Ste 2
Kingston, NY 12401
Phone (845) 339-3736
Other practice location 1
105 Mary's Avenue
Kingston, NY 12401
Phone (845) 338-2500 ext. 4116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4885 Route 9
Staatsburg, NY 12580-6028
Phone 9086632929898
515 Valley St
Suite 203
Maplewood, NJ 07040-4300
Phone (908) 663-2929
Hospital & facility affiliations
- Saratoga Hospital
- Garnet Health Medical Center Catskills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F400968 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
| F4009681 | NY | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stationmd Professional Corporation | Current | Accepting new patients | |
| Nysarc Inc. Ulster, Greene, Putnam Counties Chapter | Current | Accepting new patients | |
| Hudson Valley Health Specialties, Inc | Past | Accepting new patients | |
| Hudson Valley Psychiatric Associates LLC | Past | Accepting new patients |
Locations
515 Valley St
Ste 203
Maplewood, NJ 07040
Phone 9086632929800
471 Albany Ave
Kingston, NY 12401
Phone (845) 331-4300
139 Cornell St
Kingston, NY 12401
Phone (845) 331-4300
Organizations & group practices 4
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.
-
- Developmental Disabilities Clinic/Center
- Kingston, NY
- NPI 1164467007
-
- Clinic/Center
- Kingston, NY
- NPI 1184703308
-
- Psychiatry Physician
- Kingston, NY
- NPI 1477598605
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756339200000",
"number": "1497861678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 GREEN STREET",
"address_2": "STE 2",
"city": "KINGSTON",
"state": "NY",
"postal_code": "12401",
"telephone_number": "845-339-3736",
"fax_number": "845-339-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 VALLEY ST STE 203",
"city": "MAPLEWOOD",
"state": "NJ",
"postal_code": "070404300",
"telephone_number": "908-663-2929",
"fax_number": "902-219-6213"
}
],
"practiceLocations": [
{
"address_1": "105 Mary's Avenue",
"address_purpose": "LOCATION",
"city": "Kingston",
"state": "NY",
"postal_code": "12401",
"country_code": "US",
"telephone_number": "845-338-2500 x4116",
"fax_number": "845-334-3172",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEINLEIN",
"first_name": "DARA",
"credential": "NPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F4009681",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "F400968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.