Individual provider Active NPI

Diana Herva, PHD

  • Psychologist
  • Visalia, CA
National Provider Identifier
1184999534
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 23501 Issued in CA
Practice address
1810 S Central St
Suite a
Visalia, CA 93277-4418
Phone
(559) 635-4252
Fax
(559) 635-4281
NPI assigned
Mar 19, 2012
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 23501 CA Primary
Cognitive & Behavioral Psychologist 103TB0200X PSY 23501 CA
Clinical Psychologist 103TC0700X PSY 23501 CA
Forensic Psychologist 103TF0200X PSY 23501 CA
Intellectual & Developmental Disabilities Psychologist 103TM1800X PSY 23501 CA
Group Psychotherapy Psychologist 103TP2701X PSY 23501 CA

Addresses

Primary practice location

1810 S Central St
Suite a
Visalia, CA 93277-4418

Mailing address

PO Box 6087
Visalia, CA 93290-8687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141003001031 CA Practitioner - Clinical Psychologist 5698995140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synchrony of Visalia IncGroup PAC ID 1759534019, 2 clinicians

Practice addresses (Care Compare)

1810 S Central St
Suite a
Visalia, CA 93277-4528
Phone (559) 635-4252

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 23501CAMDIntellectual & Developmental Disabilities Psychologist
23501CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Synchrony of Visalia, Inc Psychologist CurrentSince Jun 29, 2014 Accepting new patients
Matrix Behavioral Health, Inc Clinical PastSince Jun 12, 2022 Accepting new patients

Locations

1041 N Demaree St
Visalia, CA 93291
Phone (559) 635-4252

1810 S Central St
Visalia, CA 93277
Phone (559) 635-4252

1810 S Central St
Ste A
Visalia, CA 93277
Phone (559) 635-4252

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": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1184999534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6087",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932908687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S CENTRAL ST",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774418",
            "telephone_number": "559-635-4252",
            "fax_number": "559-635-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERVA",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 23501",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY 23501",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23501",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY 23501",
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSY 23501",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY 23501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.