Active NPI
Joan A. Heller, PH.D.
- Psychologist
- Clayton, MO
National Provider Identifier
1760453682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 01449
- Practice address
- 7710 Carondelet Ave
Ste 527
Clayton, MO 63105-0008 - Phone
- (314) 725-1415
- Fax
- (314) 725-1378
- NPI assigned
- Jan 30, 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 | 01449 | MO | Primary |
Addresses
Primary practice location
7710 Carondelet Ave
Ste 527
Clayton, MO 63105-0008
Mailing address
1034 S Brentwood Blvd
Suite 1601
Saint Louis, MO 63117-1223
Phone (314) 725-1415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040428001563 | MO | Practitioner - Clinical Psychologist | 9234126483 | Practice locations: Creve Coeur, MO |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
655 Craig Rd
Suite 310
Creve Coeur, MO 63141-7171
Phone (314) 725-1415
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01449 | MO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1760453682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1034 S BRENTWOOD BLVD",
"address_2": "SUITE 1601",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171223",
"telephone_number": "314-725-1415",
"fax_number": "314-725-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7710 CARONDELET AVE",
"address_2": "STE 527",
"city": "CLAYTON",
"state": "MO",
"postal_code": "631050008",
"telephone_number": "314-725-1415",
"fax_number": "314-725-1378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "JOAN",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "01449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clayton, MO
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; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.