Organization Active NPI

Guillermo Hernandez MD PLLC

  • Behavior Analyst
  • Meridian, MS
National Provider Identifier
1407107451
Registry record updated Sep 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
12382 Issued in MS
Legal business name
GUILLERMO HERNANDEZ MD PLLC
Practice address
5000 Highway 39 N
Meridian, MS 39301-1021
Phone
(601) 453-5366
Fax
(601) 581-9936
NPI assigned
Sep 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2012

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

Authorized official

Name
Dr. Guillermo Hernandez, MD
Title
Sole MBR
Phone
(601) 453-5366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X 12382 MS Primary

Addresses

Primary practice location

5000 Highway 39 N
Meridian, MS 39301-1021

Mailing address

PO Box 235
Marion, MS 39342-0235
Phone (601) 453-5366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348876800000",
    "number": "1407107451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "MARION",
            "state": "MS",
            "postal_code": "393420235",
            "telephone_number": "601-453-5366",
            "fax_number": "601-581-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HIGHWAY 39 N",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393011021",
            "telephone_number": "601-453-5366",
            "fax_number": "601-581-9936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILLERMO HERNANDEZ MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-29",
        "last_updated": "2012-09-29",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "601-453-5366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": "MS",
            "license": "12382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2012; 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.