Active NPI
Ann M. Hetzel, PH.D.
- Clinical Psychologist
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6648
- Practice address
- 550 S Cleveland Ave Ste G1
Westerville, OH 43081-8958 - Phone
- (614) 808-3632
- Fax
- (614) 452-6188
- NPI assigned
- May 27, 2010
- Last updated
- Jun 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6648 | OH | Primary |
Addresses
Primary practice location
550 S Cleveland Ave Ste G1
Westerville, OH 43081-8958
Mailing address
691 Westray Dr
Westerville, OH 43081-7701
Phone (614) 808-3632
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, VT, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.06 of 100
- Quality
- 90.22
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.97
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medoptions of Vermont LLC | Clinical | Current | Accepting new patients |
| Ann M. Hetzel | Clinical | Current | Accepting new patients |
| Medoptions of Ohio LLC | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Professional | Current | Accepting new patients |
Locations
1160 Dublin Rd
Ste 400
Columbus, OH 43215
Phone (502) 439-2617
50 W Broad St
Ste 1330
Columbus, OH 43215
Phone (630) 320-6871
800 N High St
Columbus, OH 43215
Phone (631) 540-8225
100 N Main St
Barre, VT 05641
35 Bel Aire Dr
Newport, VT 05855
Phone (802) 334-2878
Organizations & group practices 5
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.
-
- Psychologist
- Westerville, OH
- NPI 1083167076
-
dba Rula Health
- Mental Health Counselor
- Durham, NC
- NPI 1801472634
OH, Professional
-
- Clinical Psychologist
- Dublin, OH
- NPI 1619232006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687132800000",
"number": "1922327105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "691 WESTRAY DR",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430817701",
"telephone_number": "614-808-3632",
"fax_number": "614-452-6188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S CLEVELAND AVE STE G1",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818958",
"telephone_number": "614-808-3632",
"fax_number": "614-452-6188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETZEL",
"first_name": "ANN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-27",
"last_updated": "2023-06-19",
"certification_date": "2023-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.