Active NPI
Heather A Byrne, PHD
- Psychologist
- Mequon, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1943-057
- Practice address
- 14135 N Cedarburg Rd
# 203
Mequon, WI 53097-1416 - Phone
- (414) 588-8822
- NPI assigned
- Aug 5, 2006
- Last updated
- Feb 13, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1943-057 | WI | Primary |
| Psychologist | 103T00000X | 35573-057 | MS |
Addresses
Primary practice location
14135 N Cedarburg Rd
# 203
Mequon, WI 53097-1416
Mailing address
14135 N Cedarburg Rd
# 203
Mequon, WI 53097-1416
Phone (414) 588-8822
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
14135 N Cedarburg Rd
Suite 203
Mequon, WI 53097-1416
Phone (414) 588-8822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35573-057 | MS | MD | Psychologist |
| 1943-057 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather a Byrne PHD Psychological Services LLC | Psychologist | Current | Accepting new patients |
| Melainie Tuggle MSW, LLC | Past | Accepting new patients | |
| Wisconsin Community Mental Health Counseling Centers, Inc | Past | Accepting new patients |
Locations
14135 N Cedarburg Rd
#203
Mequon, WI 53097
Phone (414) 588-8822
14135 N Cedarburg Rd
Ste 203
Mequon, WI 53097
Phone (262) 377-2006
4465 N Oakland Ave
Shorewood, WI 53211
Phone (414) 354-3620
Organizations & group practices 3
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
- Mequon, WI
- NPI 1154679231
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- Clinical Social Worker
- Milwaukee, WI
- NPI 1083490726
-
- Mental Health Counselor
- Mequon, WI
- NPI 1558440552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486944000000",
"number": "1942219589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14135 N CEDARBURG RD",
"address_2": "# 203",
"city": "MEQUON",
"state": "WI",
"postal_code": "530971416",
"telephone_number": "414-588-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14135 N CEDARBURG RD",
"address_2": "# 203",
"city": "MEQUON",
"state": "WI",
"postal_code": "530971416",
"telephone_number": "414-588-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNE",
"first_name": "HEATHER",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2017-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "WI",
"license": "1943-057",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MS",
"license": "35573-057",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mequon, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.