DR. PHYLLIS JEAN HEFFNER M.D.
NPI 1083614424
Psychiatry & Neurology - Child & Adolescent Psychiatry in Columbia, MD

NPI Status: Active since July 28, 2005

Contact Information

10801 HICKORY RIDGE RD STE 215
COLUMBIA, MD
ZIP 21044
Phone: (410) 260-0344
Fax: (410) 260-0344

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  • Individual
  • Female
  • Psychiatry & Neurology
  • Child & Adolescent Psychiatry
  • PECOS Enrolled
  • Opted-Out Medicare

About PHYLLIS HEFFNER

This page provides the complete NPI Profile along with additional information for Phyllis Heffner, a provider established in Columbia, Maryland with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1083614424 assigned on July 2005. The practitioner's primary taxonomy code is 2084P0804X with license number D0038523 (MD). The provider is registered as an individual and her NPI record was last updated 7 years ago.

NPI
1083614424
Provider Name
DR. PHYLLIS JEAN HEFFNER M.D.
Gender
Female
Entity Type
Individual
Location Address
10801 HICKORY RIDGE RD STE 215 COLUMBIA, MD 21044
Location Phone
(410) 260-0344
Location Fax
(410) 260-0344
Mailing Address
10801 HICKORY RIDGE RD STE 215 COLUMBIA, MD 21044
Mailing Phone
(410) 260-0344
Mailing Fax
(410) 260-0344
Is Sole Proprietor?
Yes
Enumeration Date
07-28-2005
Last Update Date
09-12-2019
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The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Phyllis Heffner opted out of Medicare effective on 10-25-2016 until 10-25-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 10440 Shaker Dr Suite 206
    Columbia, MD 21046
    (410) 260-0344

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Child & Adolescent Psychiatry

Taxonomy Code
2084P0804X
Type
Allopathic & Osteopathic Physicians
License No.
D0038523
License State
MD
Taxonomy Description
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12084P0800XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Psychiatry

D0038523 (MD)

Medicare Participation & PECOS Enrollment Status

Phyllis Heffner is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 10-25-2016

  • Opt-Out End Date: 10-25-2026

  • Eligible to Order and Refer? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1083614424, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
3
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
2
Doubled → 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 6 → 12 → 3 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 6 + 3 + 1 + 2 + 1 + 8 + 4 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1083614424.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
10801 HICKORY RIDGE RD STE 215
COLUMBIA, MD 21044
Social Worker (Clinical)
10801 HICKORY RIDGE RD STE 215
COLUMBIA, MD 21044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083614424, enumerated as an "individual" on July 28, 2005.

The provider is located at 10801 HICKORY RIDGE RD STE 215 COLUMBIA, MD 21044 and the phone number is (410) 260-0344.

Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.