Individual provider Active NPI

Robert M Heller, PH.D.

  • Clinical Psychologist
  • Chicago, IL
National Provider Identifier
1821101528
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-002999 Issued in IL
Practice address
1 E Superior St
310
Chicago, IL 60611-2507
Phone
(312) 988-7792
Fax
(312) 988-4040
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 1003286 IL
Clinical Psychologist 103TC0700X 071-002999 IL Primary

Addresses

Primary practice location

1 E Superior St
310
Chicago, IL 60611-2507

Mailing address

758 N Larrabee St
Apt 801
Chicago, IL 60654-6452
Phone (312) 339-9452

Other names 1

  • Dr. Uri Heller Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050318000731 IL Practitioner - Clinical Psychologist 1456306075 Practice locations: Chicago, IL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 E Superior St
Suite 405
Chicago, IL 60611-2596
Phone (312) 339-9452

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
071-002999ILMDClinical Psychologist
1003286ILMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Heller Psychological Services, P.C. Clinical CurrentSince Dec 15, 1990 Accepting new patients

Locations

1 E Superior St
Ste 410
Chicago, IL 60611
Phone (312) 988-7792

1 E Superior St
Ste 506
Chicago, IL 60611
Phone (312) 219-4136

1 E Superior St
Ste 310
Chicago, IL 60611
Phone (312) 988-7792

2604 Dempster St
Ste 310
Park Ridge, IL 60068
Phone (312) 988-7792

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1821101528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 N LARRABEE ST",
            "address_2": "APT 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606546452",
            "telephone_number": "312-339-9452",
            "fax_number": "312-988-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E SUPERIOR ST",
            "address_2": "310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112507",
            "telephone_number": "312-988-7792",
            "fax_number": "312-988-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1003286",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-002999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "URI",
            "last_name": "HELLER",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.