WILLIAM LAWRENCE HEARD (PSY.D.) – Clinical Psychologist, NPI 1407474257

WILLIAM LAWRENCE HEARD (PSY.D.) is a healthcare provider. based in Fort wayne, Indiana. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D.. They hold a License No. 20043390A (IN). The NPI Number for WILLIAM LAWRENCE HEARD (PSY.D.) is 1407474257

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM LAWRENCE HEARD (PSY.D.)
NPI
1407474257
Phone
(574) 546-1900
Address
PO BOX 10299
Enumeration Date
8 July 2020
Last Update Date
23 October 2024

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
8005675433
Graduation Year
2020 (6 years ago)
PAC ID
3577982982
Group Practice PAC ID
8123433034
Professional Enrollment ID
I20201005002397
Address ID
IN469017745KO916XXDRXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:5State licenses:1Digital endpointsOther names

450 CLINICAL PSYCHOLOGIST in IN

Provider Addresses for WILLIAM LAWRENCE HEARD (PSY.D.)

  • PO BOX 10299

    FORT WAYNE, IN 468510299

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Mailing

  • 2100 N MAIN ST STE 304

    CROWN POINT, IN 463071877

    Phone: (574) 546-1900

    Fax: (574) 546-1999

    Type: Location

  • 1269 PRIMROSE LN

    SCHERERVILLE, IN 463751473

    Phone: (708) 546-8971

    Type: Mailing

  • 10428 PRIVET DR

    CROWN POINT, IN 463075383

    Phone: (219) 202-8747

    Fax: (219) 301-8748

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20201005002397IClinical PsychologistINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 46851)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123433034View full group profile
NameSpecialtyState
Clinical PsychologistKS
Clinical PsychologistAZ
Clinical Social WorkerIN
Clinical PsychologistPA
Marriage And Family TherapistWA
Clinical PsychologistRI
Clinical Social WorkerMI
Marriage And Family TherapistWA
Clinical Social WorkerWA
Clinical Social WorkerIN

Reviews

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Frequently asked questions

Is WILLIAM LAWRENCE HEARD (PSY.D.) listed with a National Provider Identifier?
Yes — WILLIAM LAWRENCE HEARD (PSY.D.) has NPI 1407474257 on file in the registry.
Is WILLIAM LAWRENCE HEARD (PSY.D.) shown as active in public data?
Registry records indicate WILLIAM LAWRENCE HEARD (PSY.D.) maintains an active NPI.
How would a patient describe WILLIAM LAWRENCE HEARD (PSY.D.)'s focus?
For WILLIAM LAWRENCE HEARD (PSY.D.), the primary taxonomy reads as Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for WILLIAM LAWRENCE HEARD (PSY.D.)?
Travel planning: use Fort Wayne, Indiana as the reference point for WILLIAM LAWRENCE HEARD (PSY.D.), then confirm.
When was this NPI issued?
Enumeration for WILLIAM LAWRENCE HEARD (PSY.D.) is noted as July 8, 2020 where the registry provides it.

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