Antonia Hernandez, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

209019331 Issued in IL

Practice address

1004 Pawlak Pkwy
New Lenox, IL 60451-9401

Phone

(815) 215-3400

Fax

(815) 215-3400

NPI assigned

Jun 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Matrix Mental Health LTDGroup PAC ID 6204378714, 10 clinicians

Santa Maria HealthGroup PAC ID 1557714839, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Holistic Psychiatry Head Heart and Harmony SC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Lenox, IL
  • NPI 1699648550
  Medicare reassignment NPD Authorized official
• Matrix Mental Health LTD

  • Psychiatry Physician
  • Joliet, IL
  • NPI 1467212860
  Medicare reassignment Care Compare group NPD
• Santa Maria Health

  • Adult Mental Health Clinic/Center
  • Aurora, IL
  • NPI 1518648831
  Medicare reassignment Care Compare group NPD
• Silver Oaks Behavioral, LLC

  • Psychiatric Hospital
  • New Lenox, IL
  • NPI 1376020479
  Medicare reassignment

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582070400000",
    "number": "1154527166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 PAWLAK PKWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519401",
            "telephone_number": "815-215-3300",
            "fax_number": "815-215-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 PAWLAK PKWY",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519401",
            "telephone_number": "815-215-3400",
            "fax_number": "815-215-3400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "671 Hoes Ln",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088545627",
            "country_code": "US",
            "telephone_number": "800-969-5300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ANTONIA",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "209019331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154527166",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ahernandez@silveroaksbehavioralhospital.com",
            "affiliation": "N",
            "endpointDescription": "ahernandez@silveroaksbehavioralhospital.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1004 Pawlak Pkwy",
            "city": "New Lenox",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604519401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samantha Rae Heitner
• Helping Hands Children'S Therapy Services Inc.
• Helping Hands Children'S Therapy Services, Inc
• Lauren Leigh Hennessy
• Elizabeth Ann Hermanson, MS, CCC-SLP
• Danielle Hernandez, MOT, OTR/L
• Karina Herrera
• Highland Park CVS LLC
• Highland Park CVS LLC
• Highland Park CVS, L.L.C.

• Psychiatric/Mental Health Nurse Practitioner in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.