Jesus Herrera, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD425773 Issued in PA

Practice address

3156 Kensington Ave
Philadelphia, PA 19134-2400

Phone

(215) 291-8151

Fax

(215) 423-9600

NPI assigned

Aug 10, 2005

Last updated

Feb 5, 2009By the provider in NPPES

Sex

Male

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

PsychiatryAlso: General Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hispanic Community Counseling ServicesGroup PAC ID 0648454041, 6 clinicians

Harmony Wellness Group IncGroup PAC ID 6800159286, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harmony Wellness Group Inc

  • Group Psychotherapy Psychologist
  • Philadelphia, PA
  • NPI 1760902753
  Medicare reassignment Care Compare group
• Hispanic Community Counseling Services

  • Community/Behavioral Health Agency
  • Philadelphia, PA
  • NPI 1194876052
  Medicare reassignment Care Compare group
• The Behavioral Wellness Center at Girard

  dba Goldman Clinic Goldman IOP

  • Methadone Clinic
  • Philadelphia, PA
  • NPI 1336350966
  NPD (past)
• The Behavioral Wellness Center at Girard

  • Methadone Clinic
  • Philadelphia, PA
  • NPI 1598798928
  NPD (past)

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233792000000",
    "number": "1104827278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8TH STREET AND GIRARD AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19122",
            "telephone_number": "215-787-2000",
            "fax_number": "215-778-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 KENSINGTON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191342400",
            "telephone_number": "215-291-8151",
            "fax_number": "215-423-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "JESUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2009-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD425773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine A Herrell, M.D.
• Alexandria Herrera
• Christopher Daniel Herrera
• Christy Herrera
• Jennifer Emma Herrera, MD
• Juana Herrera, MA
• Miosotis Herrera
• Rachael Herrera, MD
• Victoria Faith Herrera, MA, MT-BC
• Joseph Patrick Herres, D.O.

• Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.