Michael C Heitt, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3448 Issued in MD

Practice address

6 Reservoir Cir
Suite 201
Baltimore, MD 21208-6374

Phone

(410) 580-9047

Fax

(410) 580-9046

NPI assigned

Feb 9, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in MD

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 1

Specialty

Clinical Psychologist

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Heitt Clinical and Corporate Consulting, LLC

  • Adult Mental Health Clinic/Center
  • Pikesville, MD
  • NPI 1801191630
  Medicare reassignment NPD Authorized official
• Sandra Hawkins Heitt, PSYD, PA

  • Adult Mental Health Clinic/Center
  • Baltimore, MD
  • NPI 1982733069
  NPD (past) Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932240348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 WESTFORD RD",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210933932",
            "telephone_number": "410-823-3736",
            "fax_number": "410-580-9046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 RESERVOIR CIR",
            "address_2": "SUITE 201",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212086374",
            "telephone_number": "410-580-9047",
            "fax_number": "410-580-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITT",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "3448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Ross Heisler, D.O
• Helena Grace Heist
• Ryan Heitkam
• Eugenie Heitmiller, M.D.
• Richard F. Heitmiller, M.D.
• Adaline Elizabeth Heitz, MD, MSPH
• Elizabeth Ann Heizer, L.C.P.C.
• Nabila Hejazi
• Bracha Hekmatjah
• Hel Recovery Center

• Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.

Verify at the official NPI Registry.