Amy Heberle

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

10980 Issued in MA

Practice address

950 Main St
Worcester, MA 01610-1400

Phone

(937) 638-2336

NPI assigned

Oct 23, 2013

Last updated

Feb 5, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1558799874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101400",
            "telephone_number": "937-638-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MAIN ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016101400",
            "telephone_number": "937-638-2336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Bickford St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021301401",
            "country_code": "US",
            "telephone_number": "617-919-7211 x47210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEBERLE",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10980",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail S Hearn-Gordy, DPT
• Heart Rhythm Specialists of Central Massachusetts, PC
• Heaven Health Citadel LLC
• Victoria Rose Heavens
• Nicholas Hebda
• Renee M Heberlie, PA
• Amanda Lee Hebert
• Cartier La-Falaise Hebert
• Christine M Hebert, MD
• Danielle M Hebert, NP

• Clinical Psychologist in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.