David Sebastian Hernandez

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5690 Santa Teresita Dr Ste A2
Santa Teresa, NM 88008-9211

Phone

(800) 675-6030

NPI assigned

May 2, 2023

Last updated

May 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

• Upper Valley Behavioral Health Corp.

  • Psychiatry Physician
  • Santa Teresa, NM
  • NPI 1689148389
  NPD

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1255020681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5690 SANTA TERESITA DR STE A2",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5690 SANTA TERESITA DR STE A2",
            "city": "SANTA TERESA",
            "state": "NM",
            "postal_code": "880089211",
            "telephone_number": "800-675-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "DAVID",
        "middle_name": "SEBASTIAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Healthnet Medical Family & Internal Medicine
• Lauren Helena Heassler
• Crystal Heredia-Sanchez, LCSW
• Albert Hernandez Jr., PMHNP-BC
• Daniel Hernandez
• Kimberly Abril Hernandez
• Luis Hernandez
• Maria Vanessa Hernandez
• Tanya Alejandra Hernandez, PMHNP-BC
• Angelica Chantal Herrera, LVN

• Behavior Technician in Santa Teresa, NM
• Providers in Santa Teresa, NM by specialty
• Behavior Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.