Active NPI
Patricia Marie Hernandez, PSYD
- Psychologist
- Scottsdale, AZ
National Provider Identifier
1083929442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3867
- Practice address
- 9832 N Hayden Rd
Suite 106
Scottsdale, AZ 85258-1298 - Phone
- (623) 225-6235
- NPI assigned
- Aug 10, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC 10433 | AZ | |
| Psychologist | 103T00000X | 3867 | AZ | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | LISAC-10433 | AZ |
Addresses
Primary practice location
9832 N Hayden Rd
Suite 106
Scottsdale, AZ 85258-1298
Mailing address
22593 W Solano Dr
Buckeye, AZ 85326-7842
Phone (623) 225-6235
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 |
|---|---|---|---|
| LISAC 10433 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
| LISAC-10433 | AZ | MD | Addiction (Substance Use Disorder) Psychologist |
| 3867 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281398400000",
"number": "1083929442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22593 W SOLANO DR",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853267842",
"telephone_number": "623-225-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9832 N HAYDEN RD",
"address_2": "SUITE 106",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852581298",
"telephone_number": "623-225-6235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2010-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC 10433",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "AZ",
"license": "3867",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC-10433",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.