Tabare Hernandez, M.D.

Individual provider Active NPI Psychiatry Physician · Bronx, NY

NPI 1104868314 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1104868314
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
128574 (NY)
Practice address
781 E 142ND St
Bronx, NY 10454-1723
Phone
(718) 993-1400
Fax
(718) 993-0647
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
128574NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bleuler Psychotherapy Center, Inc. Past
since Sep 23, 2023
Accepting new patients
Queens County Neuropsychiatric Institute Inc. Past
since Feb 9, 1996
Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/bleulerpc/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 128574 NY Yes

Addresses

Primary practice location

781 E 142ND St
Bronx, NY 10454-1723

Mailing address

781 E 142ND St
Bronx, NY 10454-1723
Phone (718) 993-1400

Other providers in Bronx, NY

All providers in Bronx, NY · Psychiatry Physician in New York

Sources for this page

Verify at the official NPI Registry.