Active NPI
Deborah Anne Heil, PHD
- Psychologist
- Raleigh, NC
National Provider Identifier
1720001340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 965
- Practice address
- 4201 Lake Boone TRL
# 201
Raleigh, NC 27607-7512 - Phone
- (919) 785-0384
- Fax
- (919) 785-0038
- NPI assigned
- Jul 25, 2006
- 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 | 965 | NC | Primary |
Addresses
Primary practice location
4201 Lake Boone TRL
# 201
Raleigh, NC 27607-7512
Mailing address
100 Europa Dr
Suite 260
Chapel Hill, NC 27517-2357
Phone (919) 929-1227
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 |
|---|---|---|---|
| 965 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| 0965 | NC | MD | Corneal and Contact Management Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720001340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 EUROPA DR",
"address_2": "SUITE 260",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275172357",
"telephone_number": "919-929-1227",
"fax_number": "919-968-2575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 LAKE BOONE TRL",
"address_2": "# 201",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276077512",
"telephone_number": "919-785-0384",
"fax_number": "919-785-0038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIL",
"first_name": "DEBORAH",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.