Individual provider Active NPI

Mercedes Elon Hoskins

  • Psychologist
  • Santa Rosa, CA
National Provider Identifier
1295239648
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSB94026678 Issued in CA
Practice address
2455 Bennett Valley Rd
Santa Rosa, CA 95404-5663
Phone
(707) 477-6594
NPI assigned
Mar 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSB94026678 CA Primary

Addresses

Primary practice location

2455 Bennett Valley Rd
Santa Rosa, CA 95404-5663

Mailing address

17572 Deer Hill Rd
Hidden Valley Lake, CA 95467-8105

Other practice location 1

19375 Ca-116
Monte Rio, CA 95405
Phone (707) 865-1200

Other names 1

  • Merci Hoskins Other name

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

LicenseStateTypeSpecialty
PSB94026678CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1295239648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17572 DEER HILL RD",
            "city": "HIDDEN VALLEY LAKE",
            "state": "CA",
            "postal_code": "954678105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045663",
            "telephone_number": "707-477-6594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19375 CA-116",
            "address_purpose": "LOCATION",
            "city": "Monte Rio",
            "state": "CA",
            "postal_code": "95405",
            "country_code": "US",
            "telephone_number": "707-865-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOSKINS",
        "first_name": "MERCEDES",
        "middle_name": "ELON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSB94026678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERCI",
            "last_name": "HOSKINS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.