Active NPI
Dr. Rebecca Hern, PLLC
- Clinical Psychologist
- Stillwater, MN
National Provider Identifier
1326531724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- DR. REBECCA HERN, PLLC
- Practice address
- 209 Churchill St W Ste 102
Stillwater, MN 55082-6216 - Phone
- (651) 564-9912
- NPI assigned
- Jun 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Hern
- Title
- Clinical Psychologist
- Phone
- (651) 564-9912
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
209 Churchill St W Ste 102
Stillwater, MN 55082-6216
Mailing address
PO Box 138
Hugo, MN 55038-0138
Phone (651) 564-9912
National Provider Directory
National Provider DirectoryLocations
209 Churchill St W
Ste 102
Stillwater, MN 55082
Phone (651) 323-1563
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689120000000",
"number": "1326531724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 138",
"city": "HUGO",
"state": "MN",
"postal_code": "550380138",
"telephone_number": "651-564-9912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 CHURCHILL ST W STE 102",
"city": "STILLWATER",
"state": "MN",
"postal_code": "550826216",
"telephone_number": "651-564-9912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. REBECCA HERN, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-11",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A",
"authorized_official_last_name": "HERN",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "651-564-9912"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stillwater, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.