Individual provider Active NPI

Lydia Marie Joseph-Hernandez, PSY.D.

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1366573347
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY19896 Issued in CA
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

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 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
PSY19896CAMDPsychologist
PSY 19896CAMDClinical Psychologist
MFC 31916CAMDMarriage & 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.

Verify at the official NPI Registry.