Caroline Daravi

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

CAROLINE DARAVI

Doing business as

(DBA) Hera Counseling

Practice address

1706 Plum Lane #110
Redland, CA 92374

Phone

(909) 553-2573

Fax

(909) 677-4883

NPI assigned

Dec 14, 2016

Last updated

Nov 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Caroline Daravi, PSY.DNPI 1457587826

Title

Owner/Psychologist

Phone

(909) 553-2573

Specialties & licenses 2

Addresses

Other names 1

• (DBA) Hera Counseling Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caroline Daravi, PSY.D.

  • Psychologist
  • Redlands, CA
  • NPI 1457587826
  NPD Authorized official
• Elisa Canovese, LMFT

  • Marriage & Family Therapist
  • Redlands, CA
  • NPI 1982105367
  NPD
• Janae Preast Hewes, LMFT

  • Marriage & Family Therapist
  • Redlands, CA
  • NPI 1225529092
  NPD (past)

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1053855783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 PLUM LANE #110",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92374",
            "telephone_number": "909-553-2573",
            "fax_number": "909-677-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 PLUM LANE #110",
            "city": "REDLAND",
            "state": "CA",
            "postal_code": "92374",
            "telephone_number": "909-553-2573",
            "fax_number": "909-677-4883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 E State St # 203-2",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923734730",
            "country_code": "US",
            "telephone_number": "909-553-2573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAROLINE DARAVI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-14",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "DARAVI",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "909-553-2573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "(DBA) Hera Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.