Active NPI
Diane Hernandez, PSY.D
- Clinical Psychologist
- West Palm Beach, FL
National Provider Identifier
1033419874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY8625
- Practice address
- 5 Harvard Cir
Suite 109
West Palm Beach, FL 33409-1979 - Phone
- (954) 701-0418
- NPI assigned
- Oct 27, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY8625 | FL | Primary |
Addresses
Primary practice location
5 Harvard Cir
Suite 109
West Palm Beach, FL 33409-1979
Mailing address
143 Miramar Ave
Royal Palm Beach, FL 33411-1162
Phone (954) 701-0418
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY8625 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489622400000",
"number": "1033419874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 MIRAMAR AVE",
"city": "ROYAL PALM BEACH",
"state": "FL",
"postal_code": "334111162",
"telephone_number": "954-701-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 HARVARD CIR",
"address_2": "SUITE 109",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334091979",
"telephone_number": "954-701-0418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "DIANE",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-27",
"last_updated": "2017-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY8625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.