Individual provider Active NPI

Raymond Hernandez, M.S

  • Marriage & Family Therapist
  • Palm Springs, CA
National Provider Identifier
1164893038
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 88975 Issued in CA
Practice address
400 S Farrell Dr Ste B210
Palm Springs, CA 92262-7933
Phone
(760) 620-5554
Fax
(760) 620-5559
NPI assigned
Oct 16, 2015
Last updated
Feb 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 88975 CA Primary

Addresses

Primary practice location

400 S Farrell Dr Ste B210
Palm Springs, CA 92262-7933

Mailing address

12968 Frederick St
Ste a
Moreno Valley, CA 92553-5229
Phone (714) 834-9690

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF 88975CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope & Healing Community Support Marriage & Family Therapist CurrentSince Dec 15, 2024 Accepting new patients
Hernandez Marriage & Family Counseling Corp. Marriage & Family Therapist CurrentSince Oct 1, 2020 Accepting new patients

Locations

12730 Heacock St
Ste 2
Moreno Valley, CA 92553
Phone (760) 620-5554

3001 E Tahquitz Canyon Way
Ste 200
Palm Springs, CA 92262
Phone (760) 620-5554

400 S Farrell Dr
Ste B210
Palm Springs, CA 92262
Phone (760) 620-5554

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1164893038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12968 FREDERICK ST",
            "address_2": "STE A",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535229",
            "telephone_number": "714-834-9690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S FARRELL DR STE B210",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922627933",
            "telephone_number": "760-620-5554",
            "fax_number": "760-620-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "RAYMOND",
        "credential": "M.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-16",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 88975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.