Jay Heisler, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1372 Issued in AL

Practice address

4515 Southlake Pkwy Ste 200
Hoover, AL 35244-3319

Phone

(205) 313-7246

Fax

(205) 939-1911

NPI assigned

Jan 16, 2007

Last updated

Oct 31, 2017By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Birmingham Pain Center Inc.Group PAC ID 3678522521, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12861/brand/1/csg/1/fhir/r4
• Direct secure messaging: jay.heisler.1@12861.direct.athenahealth.com

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.

• Birmingham Pain Center Inc.

  • Interventional Pain Medicine Physician
  • Hoover, AL
  • NPI 1710038476

  Clinical

  Medicare reassignment Care Compare group NPD
• The Birmingham Pain Center Inc

  • Clinical Medical Laboratory
  • Hoover, AL
  • NPI 1881132553
  NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509408000000",
    "number": "1992856793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SOUTHLAKE PKWY STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443319",
            "telephone_number": "205-313-7246",
            "fax_number": "205-939-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 SOUTHLAKE PKWY STE 200",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443319",
            "telephone_number": "205-313-7246",
            "fax_number": "205-939-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISLER",
        "first_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2017-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AL",
            "license": "1372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kecia E Heath, RPH
• Christopher Andrew Heck, M.D.
• Michael Henry Heck, PTA
• Wendy Hedgepath
• Steven Bruce Hefter, MD
• Helena Family Podiatry, PC (Hoover Foot Center)
• Holton Seth Helms, PHARMD
• Ross Stuart Hendricks, C.R.N.P.
• Jessica Hendrix, LPC, NCC
• Emily Henneberg, PT

• Clinical Psychologist in Hoover, AL
• Providers in Hoover, AL by specialty
• Clinical Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.