Individual provider Active NPI

Heather Mae Calkins, PHD, LP

  • Psychologist
  • Grand Island, NE
National Provider Identifier
1851913800
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1116 Issued in NE
Practice address
3230 W Wildwood Dr
Grand Island, NE 68801-9609
Phone
(308) 381-8851
Fax
(308) 381-8853
NPI assigned
May 13, 2020
Last updated
Mar 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 5761 NE
Psychologist 103T00000X 1116 NE Primary

Addresses

Primary practice location

3230 W Wildwood Dr
Grand Island, NE 68801-9609

Mailing address

2313 N Webb Rd
Grand Island, NE 68803-1743
Phone (308) 381-8851

Other identifiers 1

IdentifierTypeStateIssuer
10026522520MedicaidNE

Other names 1

  • Heather Mae Prasse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20230523001206 NE Practitioner - Clinical Psychologist 1153787833 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5761NEMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Father Flanagan's Boys' Home CurrentSince Apr 22, 2023 Accepting new patients
Father Flanagan's Boys Home Psychologist CurrentSince Nov 24, 2025 Accepting new patients

Locations

13460 Walsh Dr
Boys Town, NE 68010
Phone (531) 355-3358

14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900

3230 W Wildwood Dr
Grand Island, NE 68801
Phone (308) 381-8851

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1851913800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 N WEBB RD",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031743",
            "telephone_number": "308-381-8851",
            "fax_number": "308-381-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 W WILDWOOD DR",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688019609",
            "telephone_number": "308-381-8851",
            "fax_number": "308-381-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALKINS",
        "first_name": "HEATHER",
        "middle_name": "MAE",
        "credential": "PHD, LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "5761",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "1116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026522520",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PRASSE",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.