Individual provider Active NPI

Peter Graves Heywood, PH.D.

  • Counseling Psychologist
  • West Palm Beach, FL
National Provider Identifier
1962611475
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY5724 Issued in FL
Practice address
580 Village Blvd
Suite 370
West Palm Beach, FL 33409-1904
Phone
(561) 712-1119
Fax
(561) 686-2580
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY5724 FL Primary

Addresses

Primary practice location

580 Village Blvd
Suite 370
West Palm Beach, FL 33409-1904

Mailing address

580 Village Blvd
Suite 370
West Palm Beach, FL 33409-1904
Phone (561) 712-1119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110221000985 FL Practitioner - Psychologist Billing Independently 3870774052 Practice locations: West Palm Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of Missouri, Columbia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

580 Village Blvd
West Palm Beach, FL 33409-1904
Phone (561) 712-1119

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Beverly Gibel, LCSW,Acsw, BCD, PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962611475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD",
            "address_2": "SUITE 370",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091904",
            "telephone_number": "561-712-1119",
            "fax_number": "561-686-2580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 VILLAGE BLVD",
            "address_2": "SUITE 370",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334091904",
            "telephone_number": "561-712-1119",
            "fax_number": "561-686-2580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYWOOD",
        "first_name": "PETER",
        "middle_name": "GRAVES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY5724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.