Ellen Ruth Heavner

Primary specialty

PsychologistTaxonomy code 103T00000X

License

CER-196713-K8H3C9 Issued in MD

Practice address

2644 Riva Rd
Annapolis, MD 21401-7427

Phone

(410) 222-5000

NPI assigned

Aug 14, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1710892880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 DONZI CT",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 RIVA RD",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017427",
            "telephone_number": "410-222-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVNER",
        "first_name": "ELLEN",
        "middle_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "CER-196713-K8H3C9",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Kartchner Heal, DO, UMO/DMO USN
• Healing Into Wholeness
• Healing Space Counseling
• Mae Wu Healy, D.O,
• Robyn Healy
• Matthew Gregory Heavner, MD
• Hayley Day Hebberd, BEHAVIOR TECHNICIAN
• Jessica Heckwolf, LCMFT, LCPAT
• Bailey Hedges, LCSW-C
• Mark Alan Hedlund, PHD

• Psychologist in Annapolis, MD
• Providers in Annapolis, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; 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.