Active NPI
Glen Edward Heiss, PH.D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1629139753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 068-014713
- Practice address
- 171 Madison Ave
Suite 1400
New York, NY 10016-5110 - Phone
- (212) 243-2228
- NPI assigned
- Dec 13, 2006
- Last updated
- Sep 27, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 068-014713 | NY | Primary |
Addresses
Primary practice location
171 Madison Ave
Suite 1400
New York, NY 10016-5110
Mailing address
171 Madison Ave
Suite 1400
New York, NY 10016-5110
Phone (212) 243-2228
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 014713 | NY | MD | Mental Health Counselor |
| 068-014713 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411776000000",
"number": "1629139753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 MADISON AVE",
"address_2": "SUITE 1400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165110",
"telephone_number": "212-243-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 MADISON AVE",
"address_2": "SUITE 1400",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100165110",
"telephone_number": "212-243-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISS",
"first_name": "GLEN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2014-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "068-014713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.