Stanley Samuel Heller, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

089815 Issued in NY

Practice address

62 E. 88TH Street
205
New York, NY 10128-1170

Phone

(212) 831-5919

Fax

(201) 567-6798

NPI assigned

May 7, 2007

Last updated

May 29, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nicola Weiss, PH.D., LLC

  • Clinical Psychologist
  • Englewood, NJ
  • NPI 1487716916
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1770796690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280313",
            "telephone_number": "212-831-5919",
            "fax_number": "201-567-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 E. 88TH STREET",
            "address_2": "205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281170",
            "telephone_number": "212-831-5919",
            "fax_number": "201-567-6798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "STANLEY",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "089815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A Heller, MD
• Rebecca Heller, LCSW
• Samantha Lynn Heller, M.D.
• Sarah Kathryn Heller, LMSW
• Sloane Heller, MD
• David J Hellerstein, MD
• Martha Kristin Helliesen, PH.D., LSM.
• Jeffrey Craig Hellinger, MD
• Betty Hellman, PHD
• Gary Lee Hellman, M.DIV

• Psychiatry Physician in New York, NY
• Providers in New York, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.

Verify at the official NPI Registry.