DOUGLAS GENE HECK (PHD) – Clinical Psychologist, NPI 1053487157

DOUGLAS GENE HECK (PHD) is a healthcare provider. based in Duluth, Minnesota. specializing in Clinical Psychologist. They hold the professional credentials PHD. They hold a License No. LP1240 (MN). The NPI Number for DOUGLAS GENE HECK (PHD) is 1053487157

Main info

Male
38 Years Of Experience
Name
DOUGLAS GENE HECK (PHD)
NPI
1053487157
Phone
(218) 722-2005
Address
205 W 2ND ST
Enumeration Date
28 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187222005
Graduation Year
1988 (38 years ago)
PAC ID
4284724139
Group Practice PAC ID
5395835243
Professional Enrollment ID
I20101209001165
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DOUGLAS GENE HECK (PHD)

  • 205, West 2nd Street, Central Business District, Central Duluth, Duluth, Saint Louis County, Minnesota, 55802, United States

    SUITE 437 DULUTH PSYCHOLOGICAL CLINIC

    DULUTH, MN 55802

    Phone: (218) 722-2005

    Fax: (218) 727-3000

    Mailing address matches the actual address.

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: 2010-12-09

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
I20101209001165IClinical PsychologistMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation1616$0
View full utilization report →

Insurance plans in this area (ZIP 55802)

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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: 5395835243View full group profile
NameSpecialtyState
Clinical PsychologistMN
Clinical PsychologistMN
Clinical PsychologistMN
Clinical PsychologistKS

Reviews

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Frequently asked questions

What federal number belongs to DOUGLAS GENE HECK (PHD)?
The federal identifier for DOUGLAS GENE HECK (PHD) is NPI 1053487157.
Is DOUGLAS GENE HECK (PHD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DOUGLAS GENE HECK (PHD) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DOUGLAS GENE HECK (PHD). Clinical services aligned with this taxonomy classification.
Where does public data place DOUGLAS GENE HECK (PHD)?
The snapshot lists Duluth, Minnesota for DOUGLAS GENE HECK (PHD); download NPPES for the complete set.
Is DOUGLAS GENE HECK (PHD) a real provider?
This page reflects official NPPES data for NPI 1053487157. Always confirm identity and privileges with the practice and licensing boards.

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