Individual provider Active NPI

Heidi Erickson, MD

  • Psychiatry Physician
  • Delray Beach, FL
National Provider Identifier
1871598508
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME115146 Issued in FL
Practice address
4800 Linton Blvd
Suite D502A
Delray Beach, FL 33445-6584
Phone
(561) 808-7205
Fax
(561) 584-6804
NPI assigned
Jun 17, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 30665 AZ
Psychiatry Physician 2084P0800X 30665 AZ
Child & Adolescent Psychiatry Physician 2084P0804X 30665 AZ
Pediatrics Physician 208000000X 35.073211 OK
Psychiatry Physician 2084P0800X ME115146 FL Primary
Child & Adolescent Psychiatry Physician 2084P0804X ME115146 FL
Pediatrics Physician 208000000X ME115146 FL

Addresses

Primary practice location

4800 Linton Blvd
Suite D502A
Delray Beach, FL 33445-6584

Mailing address

4800 Linton Blvd
Suite D502A
Delray Beach, FL 33445-6584
Phone (561) 808-7205

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070830000709 OK Practitioner - PsychiatryPractitioner - Pediatric MedicinePractitioner - Hospitalist 8820078777 Reassigns benefits to 2 organizations
I20150410001635 FL Practitioner - PsychiatryPractitioner - Pediatric Medicine 8820078777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Hospitalist, Pediatric Medicine
Education
Uniformed Services Uhs Fe Hebert School of Med, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro Healthcare Services LLCGroup PAC ID 7618400557, 33 clinicians

Practice addresses (Care Compare)

1111 N Lee Ave
Suite 305
Oklahoma City, OK 73103-2620
Phone (405) 272-4978

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.073211OKMDPediatrics Physician
30665AZMDChild & Adolescent Psychiatry Physician
ME115146FLMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Physicians LLC CurrentSince Oct 1, 2024 Accepting new patients
Springwell Health LLC Current Accepting new patients
Metro Healthcare Services LLC CurrentSince Nov 1, 2024 Accepting new patients
Halifax Healthcare Systems Inc CurrentSince Nov 22, 2014 Accepting new patients
Southwestern Physician Services LLC Psychiatry Past Accepting new patients
Anadarko Indian Health Center Past Accepting new patients
Duncan Regional Hospital, Inc Past Accepting new patients
Commons Operations LLC Past Accepting new patients

Locations

303 N Clyde Morris Blvd
Daytona Beach, FL 32114
Phone (386) 425-2285

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

1211 N Shartel Ave
Ste 408
Oklahoma City, OK 73103
Phone (405) 835-3428

1111 N Lee Ave
Ste 305
Oklahoma City, OK 73103
Phone (405) 272-4978

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418083200000",
    "number": "1871598508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "SUITE D502A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456584",
            "telephone_number": "561-808-7205",
            "fax_number": "561-584-6804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 LINTON BLVD",
            "address_2": "SUITE D502A",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334456584",
            "telephone_number": "561-808-7205",
            "fax_number": "561-584-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2014-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "30665",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "30665",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "30665",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "35.073211",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME115146",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME115146",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME115146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.