Active NPI
Matthew Heller
- Psychiatry Physician
- Yuma, AZ
National Provider Identifier
1659939155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101270519
- Practice address
- Marine Corps Air Station Yuma
BLDG. 645, Room 207
Yuma, AZ 85365 - Phone
- (305) 697-8329
- NPI assigned
- May 30, 2019
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101270519 | VA | Primary |
Addresses
Primary practice location
Marine Corps Air Station Yuma
BLDG. 645, Room 207
Yuma, AZ 85365
Mailing address
Marine Corps Air Station Yuma
BLDG. 645, Room 207
Yuma, AZ 85365
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101270519 | VA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1659939155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MARINE CORPS AIR STATION YUMA",
"address_2": "BLDG. 645, ROOM 207",
"city": "YUMA",
"state": "AZ",
"postal_code": "85365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MARINE CORPS AIR STATION YUMA",
"address_2": "BLDG. 645, ROOM 207",
"city": "YUMA",
"state": "AZ",
"postal_code": "85365",
"telephone_number": "305-697-8329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-30",
"last_updated": "2023-09-11",
"certification_date": "2023-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101270519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yuma, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.