Individual provider Active NPI

Ann M. Hetzel, PH.D.

  • Clinical Psychologist
  • Westerville, OH
National Provider Identifier
1922327105
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6648 Issued in OH
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 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, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20150928002964 OH Practitioner - Clinical Psychologist 8123336948 Reassigns benefits to 3 organizations
I20210602002039 VT Practitioner - Clinical Psychologist 8123336948 Reassigns benefits to 1 organization
I20210818004257 FL Practitioner - Clinical Psychologist 8123336948

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
98.06 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Medoptions of Vermont LLC Clinical CurrentSince Apr 1, 2021 Accepting new patients
Ann M. Hetzel Clinical Current Accepting new patients
Medoptions of Ohio LLC Clinical CurrentSince Apr 1, 2021 Accepting new patients
Mental Health Specialty Group PA Professional CurrentSince Jan 1, 2026 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.

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

Verify at the official NPI Registry.