Individual provider Active NPI

Juvia P. Heuchert, PHD

  • Psychologist
  • Meadville, PA
National Provider Identifier
1598093080
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS016697 Issued in PA
Practice address
390 Park Ave
Meadville, PA 16335-1243
Phone
(814) 337-2037
Fax
(814) 337-2060
NPI assigned
Nov 23, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS016697 PA Primary

Addresses

Primary practice location

390 Park Ave
Meadville, PA 16335-1243

Mailing address

390 Park Ave
Meadville, PA 16335-1243
Phone (814) 337-2037

Other names 1

  • Dr. Johannes WP Heuchert 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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS016697PAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Oyler Internal Medicine, LLC Past Accepting new patients
Avante Center for Counseling and Psychological Services, Inc. Past Accepting new patients

Organizations & group practices 2

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": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326240000000",
    "number": "1598093080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351243",
            "telephone_number": "814-337-2037",
            "fax_number": "814-337-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PARK AVE",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163351243",
            "telephone_number": "814-337-2037",
            "fax_number": "814-337-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUCHERT",
        "first_name": "JUVIA",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-23",
        "last_updated": "2012-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS016697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNES",
            "last_name": "HEUCHERT",
            "middle_name": "WP",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.