Tracy Heller, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005077 Issued in VA

Practice address

1840 Cove Road
Building 3855, Suite 100
Virginia Beach, VA 23459

Phone

(757) 763-3715

NPI assigned

Oct 28, 2014

Last updated

Mar 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Thrive Proactive Health

  • Sports Physical Therapist
  • Virginia Beach, VA
  • NPI 1710345293
  NPD (past)

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

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615939200000",
    "number": "1528463940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 COVE RD.",
            "address_2": "BUILDING 3855, SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23459",
            "telephone_number": "757-763-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 COVE ROAD",
            "address_2": "BUILDING 3855, SUITE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23459",
            "telephone_number": "757-763-3715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2830 Virginia Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527614",
            "country_code": "US",
            "telephone_number": "757-416-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HELLER",
        "first_name": "TRACY",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-28",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cara Heinrich, R.T.(R)(M)
• Taylor Brooke Heinrichs
• Catharine Heinz, IBCLC
• Elizabeth Cady Heischober, SLP
• Julia Helfer
• Alison Helm
• Beth Helm
• Brian Thomas Helm, LPC
• Helpful Hearts Community Services
• Helping Hands Therapy Services

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.