Karen Margaret Herdzik, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

377 Main St Uppr
East Aurora, NY 14052-1735

Phone

(716) 393-2995

Fax

(855) 704-1612

NPI assigned

Jun 23, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Karen Margaret Lopez Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1447561642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 STREIF RD",
            "city": "ELMA",
            "state": "NY",
            "postal_code": "140599685",
            "telephone_number": "716-393-2995",
            "fax_number": "855-704-1612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MAIN ST UPPR",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140521735",
            "telephone_number": "716-393-2995",
            "fax_number": "855-704-1612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Streif Rd",
            "address_purpose": "LOCATION",
            "city": "Elma",
            "state": "NY",
            "postal_code": "140599685",
            "country_code": "US",
            "telephone_number": "716-393-2995",
            "fax_number": "855-704-1612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERDZIK",
        "first_name": "KAREN",
        "middle_name": "MARGARET",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "023755-01",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60652236",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001312",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "LOPEZ",
            "middle_name": "MARGARET",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carolyn Hayden, M.S. CCC-SLP
• Ellen M Hayes, PNP
• Healing Waters of Wny LLC (Healing Waters)
• Kimberly Heeb, WHNP/CNM
• Samantha Heinaman, LMT
• Lara Kristine Herzog, PT, DPT
• Jeanne E. Hill, AU.D.
• Hannah Howard
• Melinda Hulme, M.A. CCC-SLP
• Teresa Ann Huston, LPN

• Psychologist in East Aurora, NY
• Providers in East Aurora, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.