Active NPI
Dede Herst, MSW
- Psychologist
- La Jolla, CA
National Provider Identifier
1184769580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LCS5201
- Practice address
- 2305 Paseo Dorado
La Jolla, CA 92037 - Phone
- (858) 453-5898
- Fax
- (858) 459-1549
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | LCS5201 | CA | Primary |
Addresses
Primary practice location
2305 Paseo Dorado
La Jolla, CA 92037
Mailing address
2305 Paseo Dorado
La Jolla, CA 92037
Phone (858) 453-5898
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 |
|---|---|---|---|
| LCS5201 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184769580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 PASEO DORADO",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-453-5898",
"fax_number": "858-459-1549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 PASEO DORADO",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "92037",
"telephone_number": "858-453-5898",
"fax_number": "858-459-1549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERST",
"first_name": "DEDE",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "LCS5201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.