Evelyn Hernandez-Mejia

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

18002 Irvine Blvd Ste 202C
Tustin, CA 92780-3322

Phone

(949) 923-1733

Fax

(714) 242-1646

NPI assigned

Jul 15, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Lighthouse Behavioral Solutions

  • Behavior Analyst
  • Tustin, CA
  • NPI 1972019941
  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1104434299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 IRVINE BLVD STE 202C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803322",
            "telephone_number": "949-923-1733",
            "fax_number": "714-242-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 IRVINE BLVD STE 202C",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803322",
            "telephone_number": "949-923-1733",
            "fax_number": "714-242-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ-MEJIA",
        "first_name": "EVELYN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Christine Hendry
• Nubia Hennessey, M.A.
• Loreal Henry
• William Keith Henry
• Tetia Terez Henson, LMFT
• Ariana Hernandez
• Daisy Hernandez
• Elena Seville Hernandez, DC
• Elizabeth Corine Hernandez
• Jairo Enrique Hernandez

• All providers in Tustin, CA
• Behavior Analyst in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.