Millie Georganna Herrera, PSY.D

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

31316 Issued in CA

Practice address

4001 State Higheay 104
Ione, CA 95640

Phone

(209) 274-4911

NPI assigned

Jul 19, 2018

Last updated

May 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1316423692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 STATE HIGHEAY 104",
            "city": "IONE",
            "state": "CA",
            "postal_code": "95640",
            "telephone_number": "209-274-4911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 STATE HIGHEAY 104",
            "city": "IONE",
            "state": "CA",
            "postal_code": "95640",
            "telephone_number": "209-274-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "MILLIE",
        "middle_name": "GEORGANNA",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "31316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl D Hanson, LMFT 138777
• Sam Kane Harary, PSYCHOLOGIST
• Hillary H Hart, RN
• Wesley K. Hashimoto, M.D.
• Lucy You Her, PSY.D.
• Evalyn Horowitz, M.D.
• Marilyn Sue Immoos, PH.D.
• Ione Family Chiropractic
• Biju John, MD
• Stephanie Jo Ann Johnson, PSY.D.

• Forensic Psychologist in Ione, CA
• Providers in Ione, CA by specialty
• Forensic Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.