Active NPI
Yanira Hernandez-Collazo I, PSY.D
- Clinical Psychologist
- Fort Cavazos, TX
National Provider Identifier
1114235009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2989
- Practice address
- 509 Medical Center Road
Carl R. Darnall Army Medical Center
Fort Cavazos, TX 76544 - Phone
- (254) 553-3623
- NPI assigned
- Sep 14, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2989 | PR | Primary |
Addresses
Primary practice location
509 Medical Center Road
Carl R. Darnall Army Medical Center
Fort Cavazos, TX 76544
Mailing address
509 Medical Center Road
Carl R. Darnall Army Medical Center
Fort Cavazos, TX 76544
Phone (254) 553-3623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2989 | Other | PR | PSYCHOLOGY LICENSE |
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 |
|---|---|---|---|
| 2989 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1114235009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 MEDICAL CENTER ROAD",
"address_2": "CARL R. DARNALL ARMY MEDICAL CENTER",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-553-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 MEDICAL CENTER ROAD",
"address_2": "CARL R. DARNALL ARMY MEDICAL CENTER",
"city": "FORT CAVAZOS",
"state": "TX",
"postal_code": "76544",
"telephone_number": "254-553-3623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ-COLLAZO",
"first_name": "YANIRA",
"name_suffix": "I",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2025-07-01",
"certification_date": "2025-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "2989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "2989",
"state": "PR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Cavazos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.