Jared Heathman, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

P1324 Issued in TX

Practice address

17510 Huffmeister Rd
Suite 105
Cypress, TX 77429-6785

Phone

(281) 849-4080

NPI assigned

Apr 27, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jul 1, 2015 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Active Ketamine, PLLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Houston, TX
  • NPI 1073259156
  NPD Authorized official
• Texas Online Psychiatry, PLLC

  dba Mynd Psychiatry

  • Psychiatry Physician
  • Spring, TX
  • NPI 1487388641
  NPD Authorized official
• Your Family Psychiatrist, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Houston, TX
  • NPI 1922483312
  NPD Authorized official
• I.a.R.C.

  dba Into Action Recovery Centers

  • Substance Abuse Rehabilitation Facility
  • Houston, TX
  • NPI 1568773281
  NPD (past)

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1972820215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12247 QUEENSTON BLVD",
            "address_2": "STE D",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770956785",
            "telephone_number": "281-849-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17510 HUFFMEISTER RD",
            "address_2": "SUITE 105",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774296785",
            "telephone_number": "281-849-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATHMAN",
        "first_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-27",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P1324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD PIT NUMBER",
            "identifier": "BP10037986",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Thomas Healy, DO
• Heart & Lung Center of Southeast Texas PA
• Heart Center of Cypress, PLLC (Heart Center of Cypress)
• Heartbeat Nursing Services LLC
• Heartbeat Nursing Services LLC
• Ronald Joseph Hebert III, MS, LAT, ATC
• Nicole Heiman
• Haley D'Lynn Helmer, M.A. CCC-SLP
• Helping Hands Family Homecare LLC
• Helping Hands Personal Care Services LLC

• Psychiatry Physician in Cypress, TX
• Providers in Cypress, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.