Active NPI
Madeline Hernandez, PSYD
- Clinical Psychologist
- Hialeah, FL
National Provider Identifier
1154488211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7097
- Practice address
- 3408 W 84TH St Ste 317
Hialeah, FL 33018 - Phone
- (305) 822-6772
- Fax
- (305) 822-6245
- NPI assigned
- Jan 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH6220 | FL | |
| Clinical Psychologist | 103TC0700X | PY7097 | FL | Primary |
Addresses
Primary practice location
3408 W 84TH St Ste 317
Hialeah, FL 33018
Mailing address
3408 W 84TH St Ste 317
Hialeah, FL 33018-4944
Phone (305) 822-6772
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH6220 | FL | MD | Mental Health Counselor |
| PY7097 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1154488211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3408 W 84TH ST STE 317",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330184944",
"telephone_number": "305-822-6772",
"fax_number": "305-822-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3408 W 84TH ST STE 317",
"city": "HIALEAH",
"state": "FL",
"postal_code": "33018",
"telephone_number": "305-822-6772",
"fax_number": "305-822-6245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "MADELINE",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-01",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6220",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY7097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.