Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. John Thomas Heroldt, EDD, HSPP

Individual provider Clinical Psychologist · NPI 1699794644

Dr. John Thomas Heroldt, EDD, HSPP is a Clinical Psychologist in LA Porte, Indiana. Qualified in 1987, 39 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
39
Licensed in
IN
In the registry since
2006
What do these letters mean?
EDD — Doctor of Education
A doctorate in education.

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Practice location Address checks out

717 Michigan Ave
LA Porte, IN 46350-3371
Phone: (219) 874-2518
Fax: (219) 756-8945
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 20040372A (IN)

Record details

NPI number1699794644
Entity typeIndividual (Type 1)
GenderMale
Credentials EDD , HSPP
Sole proprietorYes
NPI enumeratedJuly 19, 2006
Last updated in NPPESDecember 14, 2007
Mailing address1652 Tippecanoe Ct, Valparaiso, IN 46385-6142

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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