Organization Active NPI

Pediatric & Family Psychology, P.a.

  • Psychologist
  • Cary, NC
National Provider Identifier
1902129208
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1055 Issued in NC
Legal business name
PEDIATRIC & FAMILY PSYCHOLOGY, P.A.
Practice address
531 Keisler Dr
Suite 203
Cary, NC 27518-9307
Phone
(919) 517-2697
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Dr. Rosalind Leah Heiko, PH.D.NPI 1316926314
Title
Director
Phone
(919) 517-2697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X 1055 NC Primary

Addresses

Primary practice location

531 Keisler Dr
Suite 203
Cary, NC 27518-9307

Mailing address

531 Keisler Dr
Suite 203
Cary, NC 27518-9307

Other identifiers 1

IdentifierTypeStateIssuer
6001130MedicaidNC

National Provider Directory

National Provider Directory

Locations

531 Keisler Dr
Ste 203
Cary, NC 27518
Phone (919) 517-2697

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1902129208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 KEISLER DR",
            "address_2": "SUITE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 KEISLER DR",
            "address_2": "SUITE 203",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275189307",
            "telephone_number": "919-517-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & FAMILY PSYCHOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "HEIKO",
        "authorized_official_first_name": "ROSALIND",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-517-2697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "NC",
            "license": "1055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001130",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.