Nichole Heidelbach

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1780 Issued in AL

Practice address

2304 Memorial Pkwy SW
Huntsville, AL 35801-6522

Phone

(256) 519-9994

NPI assigned

Jun 3, 2015

Last updated

Jun 3, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 15, 2025 through Sep 15, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Nichole Turnbow Heidelbach, PSYD, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntsville, AL
  • NPI 1144736075
  NPD Authorized official

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1902286032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016522",
            "telephone_number": "256-519-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDELBACH",
        "first_name": "NICHOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittaney Danialle Heffken
• David Edward Heffken, COTA/L
• Kelly Heflin, COTA/L
• Faith Ferguson Heidecker, OTRL
• Kristen Danielle Heideger
• Jennifer Isler Heidt, M.S., BCBA
• Benjamin W Heiman, CRNA
• Brittain Ford Heindl, M.D.
• Helen's Place LLC
• Talley Brinn Loftin Hellen, CRNA

• Psychologist in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.