Individual provider Active NPI

Heather E Magee, PHD

  • Psychologist
  • Lakeland, FL
National Provider Identifier
1659579670
Registry record updated Mar 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY8345 Issued in FL
Practice address
4404 S Florida Ave
Suite 3
Lakeland, FL 33813-2169
Phone
(863) 709-8110
Fax
(863) 709-8118
NPI assigned
Jul 11, 2007
Last updated
Mar 29, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 691 NE
Psychologist 103T00000X PY8345 FL Primary
Cognitive & Behavioral Psychologist 103TB0200X
Clinical Child & Adolescent Psychologist 103TC2200X

Addresses

Primary practice location

4404 S Florida Ave
Suite 3
Lakeland, FL 33813-2169

Mailing address

4404 S Florida Ave
Suite 3
Lakeland, FL 33813-2169
Phone (863) 709-8110

Other identifiers 1

IdentifierTypeStateIssuer
8172MedicaidNE

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
303NEMDFamily Medicine Physician
691NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Bettye West & Associates, Inc. Past Accepting new patients
Advance Psychological Consulting Services, LLC PastSince May 14, 2023 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1659579670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 S FLORIDA AVE",
            "address_2": "SUITE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132169",
            "telephone_number": "863-709-8110",
            "fax_number": "863-709-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 S FLORIDA AVE",
            "address_2": "SUITE 3",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132169",
            "telephone_number": "863-709-8110",
            "fax_number": "863-709-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGEE",
        "first_name": "HEATHER",
        "middle_name": "E",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "691",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY8345",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8172",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.