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Ellen Ruth Heavner

NPI 1710892880ActiveIndividual· Psychologist· Annapolis, MD

Psychologist in Annapolis, Maryland, licensed in MD, with an NPI issued in August 2026.

Overview

NPI1710892880
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedAug 14, 2026
Last updated in NPPESAug 14, 2026
Certified by providerAug 14, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XCER-196713-K8H3C9MD

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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