Kristen Herzel, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Practice address

13 W Third St
Media, PA 19063-2803

Phone

(610) 540-0710

NPI assigned

Nov 1, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1053955054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CORNELL AVE",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 W THIRD ST",
            "city": "MEDIA",
            "state": "PA",
            "postal_code": "190632803",
            "telephone_number": "610-540-0710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZEL",
        "first_name": "KRISTEN",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://kristenherzel.com",
            "affiliation": "N",
            "address_1": "13 W Third St",
            "city": "Media",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190632803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joseph James Herdman, MD
• William Joseph Hernz, MD
• Richard P Heron, LPN
• Nicholas Andrew Herrick, LMFT
• Jeanette Herrington
• Veronica J Herzog, LMFT
• Alexis Marie Hetherington, M.S., CCC-SLP
• Barbara Ann Hetherington, O.T.R.
• Amy Hetrick
• Agnes M. Hewitt, M.D.

• Clinical Neuropsychologist in Media, PA
• Providers in Media, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.