Deanna Hercik, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024185628 Issued in VA

Practice address

12872 Harbor Dr
Woodbridge, VA 22192-2921

Phone

(910) 705-8588

Fax

(910) 778-1196

NPI assigned

Oct 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ally in Mental Health, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Woodbridge, VA
  • NPI 1881459279
  NPD Authorized official
• Comprehensive Life Solutions

  • Adult Mental Health Clinic/Center
  • Virginia Beach, VA
  • NPI 1417442856
  NPD (past)

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1497472856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 HILLTOP WEST CTR STE 215",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234516196",
            "telephone_number": "757-664-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12872 HARBOR DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922921",
            "telephone_number": "910-705-8588",
            "fax_number": "910-778-1196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4445 Corporation Ln Ste 264",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234623671",
            "country_code": "US",
            "telephone_number": "571-774-5557",
            "fax_number": "757-664-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERCIK",
        "first_name": "DEANNA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2024-03-21",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024185628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry a McCleary DC LLC
• Patricia Ava-Gay-E Tanish Henry Taylor I
• Herald Healthcare LLC
• Herald Healthcare Support Services LLC
• Herana Services LLC
• Teresa Ann Herdegen, MS OTR/L
• Douglas Edwin Heritage, M.D.09
• Claire Herm, PT, DPT
• Susan Alejandra Hernandez
• Anita Herrera, PMHNP-BC

• Psychiatric/Mental Health Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.