Individual provider Active NPI

Heloisa Garman, PSY.D

  • Clinical Psychologist
  • Evanston, IL
National Provider Identifier
1861007049
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-004271 Issued in IL
Practice address
800 Elgin Rd Apt 1611
Evanston, IL 60201-5632
Phone
(224) 999-7622
NPI assigned
Sep 14, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 071-004271 IL Primary

Addresses

Primary practice location

800 Elgin Rd Apt 1611
Evanston, IL 60201-5632

Mailing address

800 Elgin Rd Apt 1611
Evanston, IL 60201-5632
Phone (224) 999-7622

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
071-004271ILMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1861007049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ELGIN RD APT 1611",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015632",
            "telephone_number": "224-999-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ELGIN RD APT 1611",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602015632",
            "telephone_number": "224-999-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARMAN",
        "first_name": "HELOISA",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.