Active NPI
Lydia Marie Joseph-Hernandez, PSY.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1366573347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY19896
- Practice address
- 2010 Zonal
3-P-61
Los Angeles, CA 90033 - Phone
- (323) 226-6767
- Fax
- (323) 226-3902
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY19896 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY 19896 | CA | |
| Marriage & Family Therapist | 106H00000X | MFC 31916 | CA |
Addresses
Primary practice location
2010 Zonal
3-P-61
Los Angeles, CA 90033
Mailing address
8617 Worthington Dr.
San Gabriel, CA 91775
Phone (626) 327-6327
Other names 1
- Ms. Lydia Marie Hernandez
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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19896 | CA | MD | Psychologist |
| PSY 19896 | CA | MD | Clinical Psychologist |
| MFC 31916 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1366573347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8617 WORTHINGTON DR.",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "91775",
"telephone_number": "626-327-6327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 ZONAL",
"address_2": "3-P-61",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90033",
"telephone_number": "323-226-6767",
"fax_number": "323-226-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH-HERNANDEZ",
"first_name": "LYDIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY19896",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 19896",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 31916",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "HERNANDEZ",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "L.M.F.T.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.