Organization Active NPI

Dr. Rebecca Hern, PLLC

  • Clinical Psychologist
  • Stillwater, MN
National Provider Identifier
1326531724
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
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

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Rebecca HernNPI 1689039901
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.