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

Active since July 28, 2005PECOS Enrolled
10801 HICKORY RIDGE RD STE 215, COLUMBIA, MD 21044(410) 260-0344(410) 260-0344 Get Directions Write a Review

NPPES record last updated: September 12, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Phyllis Jean Heffner M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PHYLLIS JEAN HEFFNER M.D. (NPI 1083614424) is an individual child & adolescent psychiatry provider in Columbia, Maryland, licensed in Maryland (D0038523) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Columbia, and is a graduate of Pennsylvania State University College Of Medicine (1986).

NPPES Registry Identity

NPI1083614424
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. PHYLLIS JEAN HEFFNERCredential: M.D.
Location Address10801 HICKORY RIDGE RD STE 215Columbia, MD 21044-3871
Mailing Address10801 Hickory Ridge Rd Ste 215Columbia, MD 21044-3871 · (410) 260-0344 · Fax (410) 260-0344
Phone(410) 260-0344
Fax(410) 260-0344
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 1986
Enumeration DateJuly 28, 2005
Last NPPES UpdateSeptember 12, 2019
✔ NPI 1083614424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in MD · D0038523
Definition
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.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License D0038523 (MD)
10801 HICKORY RIDGE RD STE 215, Columbia, MD 21044
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Secondary Practice Location 1

Location 110440 Shaker Dr, Suite 206Columbia, MD 21046-1200 · Phone (410) 260-0344 · Fax (410) 260-0344

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phyllis Jean Heffner M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113166299
PECOS Enrollment IDI20130621000010
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIGDGETT MARTIN-LOVE LCSW-C
Social Worker (Clinical)
10801 HICKORY RIDGE RD STE 215
COLUMBIA, MD 21044
Howard County (717) 428-0552
SOLUTIONS FOR MINDFULNESS PA
Psychiatry & Neurology (Psychiatry)
10801 HICKORY RIDGE RD STE 215
COLUMBIA, MD 21044
Howard County (717) 428-0552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phyllis Heffner's NPI number?

The NPI number for Phyllis Heffner is 1083614424. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Phyllis Heffner located?

Phyllis Heffner practices at 10801 Hickory Ridge Rd Ste 215, Columbia, MD 21044. The listed phone number is (410) 260-0344.

What is Phyllis Heffner's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Phyllis Heffner enrolled in Medicare?

Yes. Phyllis Heffner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Phyllis Heffner was last updated on September 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.