Marjorie C Heppner, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS00378 Issued in RI

Practice address

1130 Ten Rod Rd
Meadows Office Park Suite D205A
North Kingstown, RI 02852-4158

Phone

(401) 295-5320

Fax

(401) 295-5320

NPI assigned

Nov 27, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1164585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280880000000",
    "number": "1972679686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "MEADOWS OFFICE PARK SUITE D205A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524158",
            "telephone_number": "401-295-5320",
            "fax_number": "401-295-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "MEADOWS OFFICE PARK SUITE D205A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524158",
            "telephone_number": "401-295-5320",
            "fax_number": "401-295-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEPPNER",
        "first_name": "MARJORIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-27",
        "last_updated": "2010-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS00378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "93404",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in North Kingstown, RI
• Providers in North Kingstown, RI by specialty
• Psychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.