Active NPI
Robert Fred Heller, EDD
- Psychologist
- Boca Raton, FL
National Provider Identifier
1730128224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- P45541
- Practice address
- 3457 Pine Haven Circle
Boca Raton, FL 33431 - Phone
- (561) 451-2731
- Fax
- (561) 451-2731
- NPI assigned
- Jun 6, 2006
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | P45541 | FL | Primary |
Addresses
Primary practice location
3457 Pine Haven Circle
Boca Raton, FL 33431
Mailing address
3457 Pine Haven Circle
Boca Raton, FL 33431
Phone (561) 451-2731
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2023 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P45541 | FL | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730128224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3457 PINE HAVEN CIRCLE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33431",
"telephone_number": "561-451-2731",
"fax_number": "561-451-2731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3457 PINE HAVEN CIRCLE",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "33431",
"telephone_number": "561-451-2731",
"fax_number": "561-451-2731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "ROBERT",
"middle_name": "FRED",
"name_prefix": "Mr.",
"credential": "EDD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "P45541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.