MARK E HEIM (CLINICAL PSYCH) – Clinical Psychologist, NPI 1285606103

MARK E HEIM (CLINICAL PSYCH) is a healthcare provider. based in Clarkston, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials CLINICAL PSYCH. They hold a License No. 6301019013 (MI). The NPI Number for MARK E HEIM (CLINICAL PSYCH) is 1285606103

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MARK E HEIM (CLINICAL PSYCH)
NPI
1285606103
Phone
(757) 589-1233
Address
4041 ARDSLEY CT
Enumeration Date
3 February 2006
Last Update Date
17 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006931916
Graduation Year
1999 (27 years ago)
PAC ID
8628455268
Group Practice PAC ID
4880768415
Professional Enrollment ID
I20220519001682
Address ID
MI483464823CL6548XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

Provider Addresses for MARK E HEIM (CLINICAL PSYCH)

  • 4041 ARDSLEY CT

    CLARKSTON, MI 483485059

    Phone: (757) 589-1233

    Type: Mailing

  • 6548 TOWN CENTER DR

    CLARKSTON, MI 483464823

    Phone: (248) 460-9731

    Type: Location

  • Naval Health Clinic Annapolis, 250, Wood Road, Wardour Bluffs, Annapolis, Anne Arundel County, Maryland, 21402, United States

    ANNAPOLIS, MD 214021257

    Phone: (410) 293-4378

    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: 2022-05-19

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
I20220519001682IClinical PsychologistMITBD

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 48348)

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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: 4880768415View full group profile
NameSpecialtyState
-MI
Clinical Social WorkerMI
-IN
Clinical Social WorkerMI
Clinical PsychologistMI
Clinical Social WorkerWI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Psychologist, Mental Health CounselorIL

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Frequently asked questions

What identifier follows MARK E HEIM (CLINICAL PSYCH) across health systems?
The NPI 1285606103 uniquely identifies MARK E HEIM (CLINICAL PSYCH) in U.S. healthcare data.
Quick check: is MARK E HEIM (CLINICAL PSYCH) active?
Public NPPES data shows MARK E HEIM (CLINICAL PSYCH) with an active NPI status right now.
Which specialty label fits MARK E HEIM (CLINICAL PSYCH)?
NPPES ties MARK E HEIM (CLINICAL PSYCH) to Clinical Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MARK E HEIM (CLINICAL PSYCH) in Clarkston, Michigan?
For routing, start with Clarkston, Michigan for MARK E HEIM (CLINICAL PSYCH), then verify phone and hours locally.
Who maintains MARK E HEIM (CLINICAL PSYCH)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.