Active NPI
Charles Harris Heller, PHD
- Psychologist
- Monsey, NY
National Provider Identifier
1982751160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006642-1
- Practice address
- 9 Elyise Rd
Monsey, NY 10952-1413 - Phone
- (845) 354-0535
- Fax
- (845) 354-1287
- NPI assigned
- Jan 3, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006642-1 | NY | Primary |
Addresses
Primary practice location
9 Elyise Rd
Monsey, NY 10952-1413
Mailing address
9 Elyise Rd
Monsey, NY 10952-1413
Phone (845) 354-0535
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051377 | Other | NY | VALUE OPTIONS |
| 62046 | Other | MN | UNITED BEHAVIORAL HEALTH |
| P368525 | Other | NY | OXFORD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006642-1 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heller Consulting Group Inc. | Psychologist | Past | Accepting new patients |
| On-Site Psychological Services PC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982751160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ELYISE RD",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521413",
"telephone_number": "845-354-0535",
"fax_number": "845-354-1287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 ELYISE RD",
"city": "MONSEY",
"state": "NY",
"postal_code": "109521413",
"telephone_number": "845-354-0535",
"fax_number": "845-354-1287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "CHARLES",
"middle_name": "HARRIS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "006642-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "051377",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL HEALTH",
"identifier": "62046",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P368525",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Monsey, NY
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.