Individual provider Active NPI

Nadine R. Heitz, ED.D.

  • Psychologist
  • Victor, NY
National Provider Identifier
1528144169
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS015102 Issued in PA
Practice address
6539 Anthony Dr Ste a
Victor, NY 14564-1441
Phone
(585) 398-8835
NPI assigned
Oct 27, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS015102 PA Primary

Addresses

Primary practice location

6539 Anthony Dr Ste a
Victor, NY 14564-1441

Mailing address

6539 Anthony Dr Ste a
Victor, NY 14564-1441
Phone (585) 398-8835

Other practice location 1

2 Lindbergh Rd Apt B
Ringoes, NJ 08551-1517
Phone (609) 203-1003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200806002830 PA Practitioner - Clinical Psychologist 2466874730 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
024230NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Care Therapy Services PC CurrentSince Jun 17, 2020 Accepting new patients

Locations

208 Fernbrook Ave
Wyncote, PA 19095
Phone (610) 668-8553

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1528144169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6539 ANTHONY DR STE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641441",
            "telephone_number": "585-398-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6539 ANTHONY DR STE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641441",
            "telephone_number": "585-398-8835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Lindbergh Rd Apt B",
            "address_purpose": "LOCATION",
            "city": "Ringoes",
            "state": "NJ",
            "postal_code": "085511517",
            "country_code": "US",
            "telephone_number": "609-203-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEITZ",
        "first_name": "NADINE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-27",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS015102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

Verify at the official NPI Registry.