Active NPI
Heather R. Harris, MA, LLP
- Psychologist
- Brighton, MI
National Provider Identifier
1992914394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6361006948
- Practice address
- 132 E Grand River Ave
Brighton, MI 48116-1510 - Phone
- (734) 489-1182
- NPI assigned
- May 22, 2007
- Last updated
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 6361006948 | MI | Primary |
Addresses
Primary practice location
132 E Grand River Ave
Brighton, MI 48116-1510
Mailing address
11177 Buno Rd
Brighton, MI 48114-9202
Phone (810) 333-4310
Other names 1
- Heather R Harris-Heffernan
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6361006948 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embracing Courage, LLC | Current | Accepting new patients | |
| Balanced Restoration Services, LLC | Past | Accepting new patients |
Locations
738 W Grand River Ave
Ste A
Brighton, MI 48116
Phone (810) 333-4310
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.
-
- Counseling Psychologist
- Brighton, MI
- NPI 1710735170
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Brighton, MI
- NPI 1801404272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1992914394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11177 BUNO RD",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481149202",
"telephone_number": "810-333-4310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "132 E GRAND RIVER AVE",
"city": "BRIGHTON",
"state": "MI",
"postal_code": "481161510",
"telephone_number": "734-489-1182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "HEATHER",
"middle_name": "R.",
"credential": "MA, LLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2022-04-26",
"certification_date": "2022-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6361006948",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "HARRIS-HEFFERNAN",
"middle_name": "R",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brighton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.