DR. HEATHER ANNE TYRELL SOUDERS D.O.
NPI 1952530560
Pediatrics - Developmental - Behavioral Pediatrics in Hamilton, NJ

Q: What is Heather Souders's NPI number?

The NPI number for Heather Souders is 1952530560. It was assigned to this individual provider in the NPPES registry on July 6, 2009. The provider is also known as Dr. Heather Anne Tyrell.

Q: What is Heather Souders's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Heather Souders was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 06, 2009PECOS Enrolled

3575 QUAKERBRIDGE RD, HAMILTON, NJ 08619(888) 244-5373 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Heather Anne Tyrell Souders D.o. NPPES

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

DR. HEATHER ANNE TYRELL SOUDERS D.O. (NPI 1952530560) is an individual developmental - behavioral pediatrics provider in Hamilton, New Jersey, licensed in New Jersey (25MB09954500) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952530560

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameDR. HEATHER ANNE TYRELL SOUDERSCredential: D.O.

Location Address3575 QUAKERBRIDGE RDHamilton, NJ 08619-1271

Mailing Address150 New Providence RdMountainside, NJ 07092-2590 · (888) 244-5373

Phone(888) 244-5373

Sole ProprietorNo

Enumeration DateJuly 6, 2009

Last NPPES UpdateJanuary 19, 2022

NPPES CertifiedJanuary 19, 2022

✔ NPI 1952530560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

Licenses✔ Licensed in NJ · 25MB09954500✔ Licensed in OH · 010917

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

3575 QUAKERBRIDGE RD, Hamilton, NJ 08619

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Other Names 1

Former Name (1)Dr. Heather Anne Tyrell

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. Heather Anne Tyrell Souders D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 20

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

MS. LINDSAY MARIE BUBLEWICZ OTR/L

Rehabilitation Hospital (Children)

3575 QUAKERBRIDGE RD
TRENTON, NJ 08619

Mercer County (609) 631-2800

DANIELLE SARA BLUM M.A. CCC-SLP

Speech-Language Pathologist