Individual provider Active NPI

Heidi Heimler, PHD

  • Psychologist
  • Milwaukee, WI
National Provider Identifier
1972613016
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
2592-057 Issued in WI
Practice address
2015 E Newport Ave
Suite 409
Milwaukee, WI 53211-2984
Phone
(414) 259-3900
Fax
(414) 963-0000
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2592-057 WI Primary
Psychologist 103T00000X 6301009248 MI

Addresses

Primary practice location

2015 E Newport Ave
Suite 409
Milwaukee, WI 53211-2984

Mailing address

PO Box 11947
Milwaukee, WI 53211-0947
Phone (414) 259-3900

Other identifiers 1

IdentifierTypeStateIssuer
39151300MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060419000596 WI Practitioner - Clinical Psychologist 8820007891 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Frontiers Psychiatric SCGroup PAC ID 7416201058, 9 clinicians

Practice addresses (Care Compare)

2675 N Mayfair Rd
Suite 400
Milwaukee, WI 53226-1305
Phone (414) 763-6910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301009248MIMDPsychologist
2592-057WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Solutions, Inc. Psychologist CurrentSince Apr 1, 2006 Accepting new patients
New Frontiers Psychiatric SC Psychologist CurrentSince Apr 10, 2020 Accepting new patients
New Frontiers TMS LLC CurrentSince Apr 10, 2020 Accepting new patients

Locations

115 E Arndt St
Fond du Lac, WI 54935
Phone (920) 923-7040

305 S Clark St
Mayville, WI 53050
Phone (920) 387-0354

2115 E Woodstock Pl
Milwaukee, WI 53202
Phone (414) 271-1020

2015 E Newport Ave
Ste 409
Milwaukee, WI 53211
Phone (414) 259-3900

2675 N Mayfair Rd
Ste 400
Milwaukee, WI 53226
Phone (414) 350-2449

321 Riverside Dr
Pewaukee, WI 53072
Phone (262) 291-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972613016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11947",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532110947",
            "telephone_number": "414-259-3900",
            "fax_number": "414-963-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE",
            "address_2": "SUITE 409",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112984",
            "telephone_number": "414-259-3900",
            "fax_number": "414-963-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMLER",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "2592-057",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301009248",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39151300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.