Kristine Marie Herfkens, PH.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

2192 Issued in NC

Practice address

3310 Croasdaile Dr Ste 400
Durham, NC 27705-6806

Phone

(919) 384-9682

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Triangle Neuropsychology Services, PLLCGroup PAC ID 3173522901, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Triangle Neuropsychology Services, PLLC

  • Clinical Neuropsychologist
  • Durham, NC
  • NPI 1689625386
  Medicare reassignment Care Compare group Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023104254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 CROASDAILE DR STE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056806",
            "telephone_number": "919-384-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 CROASDAILE DR STE 400",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056806",
            "telephone_number": "919-384-9682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERFKENS",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NC",
            "license": "2192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6000514",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0376X",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5648716",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Herbert Way of Living,LLC
• Ashley Herbert
• James Taylor Herbert, M.D.
• Jessica Herbin, LCSW
• Emily Rachel Herbst
• Elizabeth O'Brien Herman, PHARMD
• Marine Therese Herman, PA-C
• Steven Herman, PH.D
• Rudmary Aimeed Hernandez Baez, MA CF-SLP
• Dayana Michell Hernandez Calderon, MD

• Clinical Neuropsychologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.