NPIMap

Individual provider Active NPI

Heidi Verena Jache, MD

  • Child & Adolescent Psychiatry Physician
  • Athens, OH
National Provider Identifier
1811068505
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35. 055135 Issued in OH
Practice address
1 Ohio University, Hudson Health Center 3Rd Floor
Ohio University Counseling and Pyschological Services
Athens, OH 45701-2979
Phone
(740) 593-1616
Fax
(740) 593-0091
NPI assigned
Nov 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 35. 055135 OH Primary

Addresses

Primary practice location

1 Ohio University, Hudson Health Center 3Rd Floor
Ohio University Counseling and Pyschological Services
Athens, OH 45701-2979

Mailing address

1 Ohio University, Hudson Health Center 3Rd Floor
Ohio University Counseling and Pyschological Services
Athens, OH 45701-2979
Phone (740) 593-1616

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 Medicine

State licenses

LicenseStateTypeSpecialty
35. 055135OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Department of Mental Health Past Accepting new patients
L & P Services Inc Past Accepting new patients
Pfeifer Counseling, Consulting and Training LLC Past Accepting new patients
L & P Services, Inc. Past Accepting new patients
Westbrook Health Services, Inc Past Accepting new patients
State of Ohio Office of Budget and Management State Accounting Past Accepting new patients

Organizations & group practices 6

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": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1811068505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OHIO UNIVERSITY, HUDSON HEALTH CENTER 3RD FLOOR",
            "address_2": "OHIO UNIVERSITY COUNSELING AND PYSCHOLOGICAL SERVICES",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012979",
            "telephone_number": "740-593-1616",
            "fax_number": "740-593-0091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OHIO UNIVERSITY, HUDSON HEALTH CENTER 3RD FLOOR",
            "address_2": "OHIO UNIVERSITY COUNSELING AND PYSCHOLOGICAL SERVICES",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012979",
            "telephone_number": "740-593-1616",
            "fax_number": "740-593-0091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACHE",
        "first_name": "HEIDI",
        "middle_name": "VERENA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35. 055135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.