Douglas J Van Der Heide

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

131230 Issued in NY

Practice address

7 E 85TH St
Nyc, NY 10028-0440

Phone

(212) 772-6443

NPI assigned

Mar 15, 2006

Last updated

Aug 19, 2015By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Columbia University College of Physicians and Surgeons, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Douglas J. Van Der Heide, M.D. LLP

  • Psychiatry Physician
  • New York, NY
  • NPI 1457651614
  Medicare reassignment NPD Authorized official
• Douglas J Vander Heide MDPC

  • Legal Medicine
  • New York, NY
  • NPI 1205805934
  Authorized official Same address or phone
• Yorkville Psychiatry PLLC

  • Psychiatry Physician
  • New York, NY
  • NPI 1669628749
  NPD (past)

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439942400000",
    "number": "1831168624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 E 85TH ST",
            "address_2": "5A",
            "city": "NYC",
            "state": "NY",
            "postal_code": "100280412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E 85TH ST",
            "city": "NYC",
            "state": "NY",
            "postal_code": "100280440",
            "telephone_number": "212-772-6443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DER HEIDE",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2015-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "131230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00509673",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Charles Tannenbaum, LCSW
• Olga V Themo, DDS
• Sharyn Smith Tondel, RN,NP-C
• Tribeca Dental Studio (Tribeca Dental Studio for Kids)
• Underneath It All Inc
• Ania Wajnberg, MD
• George Weingarten, MD
• Rebecca Jo White, RN, PNP
• David Benjamin Wiley, M.D.
• Mary Ann Willoughby, M.S.L.AC

• Psychiatry Physician in Nyc, NY
• Providers in Nyc, 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 Aug 19, 2015; 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.

Verify at the official NPI Registry.