Heidi Depue, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1797 Issued in OR

Practice address

2601 25TH St SE
Suite 420
Salem, OR 97302-1279

Phone

(503) 566-6533

Fax

(503) 566-9864

NPI assigned

Jan 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Mid Valley Counseling Center Inc

  • Clinical Psychologist
  • Salem, OR
  • NPI 1407039308
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1689645517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 D ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012768",
            "telephone_number": "503-364-6093",
            "fax_number": "503-364-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 25TH ST SE",
            "address_2": "SUITE 420",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973021279",
            "telephone_number": "503-566-6533",
            "fax_number": "503-566-9864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPUE",
        "first_name": "HEIDI",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "1797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "498568427",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erik John Denton
• Samuel J Denton, MD
• Aneet Jyot Deo, M.D.
• Jocelyn Ann Depriest
• Erik W Deproost, PT
• Dermatology Clinic PC
• Samuel Derobbio
• Amyah Lynn Derosia-Neal, DOULA
• Monica De Anne Derosier, QMHP, LCSW
• Jordon Gabriel Derowitsch, PA-C

• Clinical Psychologist in Salem, OR
• Providers in Salem, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.