Individual provider Active NPI

James Heck, PH.D.

  • Clinical Psychologist
  • Harrisburg, PA
National Provider Identifier
1780876086
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PS 008632-L Issued in PA
Practice address
2225 Sycamore St Ste 760
Harrisburg, PA 17111-1026
Phone
(717) 215-9598
Fax
(717) 695-0133
NPI assigned
Aug 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS 008632-L PA Primary

Addresses

Primary practice location

2225 Sycamore St Ste 760
Harrisburg, PA 17111-1026

Mailing address

2225 Sycamore St Ste 760
Harrisburg, PA 17111-1026
Phone (717) 215-9598

Other identifiers 1

IdentifierTypeStateIssuer
001684714MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090316000460 PA Practitioner - Clinical Psychologist 1052478211 Reassigns benefits to 1 organization
Practice locations: Harrisburg, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Che Senior Care Therapy Services, PCGroup PAC ID 8123269149, 23 clinicians

Practice addresses (Care Compare)

208 Fernbrook Ave
Wyncote, PA 19095-1532
Phone (610) 668-8553

630 Freedom Business Ctr Dr
FL 3
King of Prussia, PA 19406-1331
Phone (800) 275-3243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PS 008632-LPAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Che Senior Care Therapy Services PC Clinical CurrentSince Sep 1, 2021 Accepting new patients

Locations

208 Fernbrook Ave
Wyncote, PA 19095
Phone (610) 668-8553

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1780876086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 SYCAMORE ST STE 760",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111026",
            "telephone_number": "717-215-9598",
            "fax_number": "717-695-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 SYCAMORE ST STE 760",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171111026",
            "telephone_number": "717-215-9598",
            "fax_number": "717-695-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS 008632-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001684714",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.