Active NPI
Carly Jean Heffel, PH.D.
- Psychologist
- Seattle, WA
National Provider Identifier
1679920078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSYC.PY.60657348
- Practice address
- 4800 Sand Point Way NE
M/S Rehabilitation Psychology
Seattle, WA 98105-3901 - Phone
- (587) 433-3304
- NPI assigned
- May 16, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSYC.PY.60657348 | WA | Primary |
Addresses
Primary practice location
4800 Sand Point Way NE
M/S Rehabilitation Psychology
Seattle, WA 98105-3901
Mailing address
7, 1441 23 Ave SW
Calgary, ALBERTA T2T0T6
CA
Phone (587) 433-3304
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSYC.PY.60657348 | WA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1679920078",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "7, 1441 23 AVE SW",
"city": "CALGARY",
"state": "ALBERTA",
"postal_code": "T2T0T6",
"telephone_number": "587-433-3304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "M/S REHABILITATION PSYCHOLOGY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "587-433-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFFEL",
"first_name": "CARLY",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WA",
"license": "PSYC.PY.60657348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.