HEATHER CHURCHILL PSYD
NPI 1124486519
Psychologist - Clinical in Great Barrington, MA

Q: What is Heather Churchill's NPI number?

The NPI number for Heather Churchill is 1124486519. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Q: What is Heather Churchill's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Heather Churchill enrolled in Medicare?

No. Heather Churchill has opted out of Medicare through May 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Heather Churchill was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since February 01, 2016Opted out of Medicare · through May 7, 2028

15 OAK ST, APT 4, GREAT BARRINGTON, MA 01230(413) 931-5296 Get Directions Write a Review

NPPES record last updated: February 1, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Heather Churchill Psyd NPPES

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

HEATHER CHURCHILL PSYD (NPI 1124486519) is an individual clinical provider in Great Barrington, Massachusetts, licensed in Massachusetts (10297) and active in the NPI registry since February 2016. She has opted out of Medicare through May 7, 2028.

NPPES Registry Identity

NPI1124486519

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameHEATHER CHURCHILLCredential: PSYD

Location Address15 OAK ST, APT 4Great Barrington, MA 01230-1882

Mailing Address15 Oak St, Apt 4Great Barrington, MA 01230-1882 · (240) 472-0153

Phone(413) 931-5296

Sole ProprietorYes

Enumeration DateFebruary 1, 2016

✔ NPI 1124486519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in MA · 10297

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

15 OAK ST, Great Barrington, MA 01230

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Heather Churchill Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 7, 2024 through May 7, 2028.

Opt-Out Effective DateMay 7, 2024

Opt-Out In Effect ThroughMay 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Heather Churchill's NPI number?

The NPI number for Heather Churchill is 1124486519. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Heather Churchill located?

Heather Churchill practices at 15 Oak St Apt 4, Great Barrington, MA 01230. The listed phone number is (413) 931-5296.

What is Heather Churchill's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Heather Churchill enrolled in Medicare?

No. Heather Churchill has opted out of Medicare through May 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Heather Churchill was last updated on February 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.