Mark Heyman Psychologist Inc

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

Legal business name

MARK HEYMAN PSYCHOLOGIST INC

Doing business as

Center for Diabetes & Mental Health

Practice address

12526 High Bluff Dr Ste 300
San Diego, CA 92130-2067

Phone

(858) 461-9295

Fax

(858) 751-7582

NPI assigned

Mar 13, 2021

Last updated

Mar 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Heyman, PHDNPI 1063783405

Title

Ceo

Phone

(858) 461-9295

Specialties & licenses 1

Addresses

Other names 1

• Center for Diabetes & Mental Health Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Heyman, PH.D.

  • Clinical Psychologist
  • Solana Beach, CA
  • NPI 1063783405
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615593600000",
    "number": "1982289740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4374 CHELFORD ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174130",
            "telephone_number": "858-461-9295",
            "fax_number": "858-751-7582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12526 HIGH BLUFF DR STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302067",
            "telephone_number": "858-461-9295",
            "fax_number": "858-751-7582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK HEYMAN PSYCHOLOGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-13",
        "last_updated": "2021-03-13",
        "certification_date": "2021-03-13",
        "status": "A",
        "authorized_official_last_name": "HEYMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-461-9295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Diabetes & Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marjon Enterprises LLC (Occupational Therapy Services)
• Mark a. Kretz
• Mark B. Griffiths, DDS, a Professional Dental Corporation
• Mark Emerson, DDS, Apc
• Mark Evan Warlen
• Mark J Riedler DDS PC
• Mark Lyman Magulac M.D., a Professional Corporation
• Mark Lytle Associates a Psychology Corporation
• Mark Magulac MD a Professional Corporation
• Mark Mashike Chiropractic (Results Chiropractic Offices)

• Health Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Health Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.