Individual provider Active NPI

Christine Hernandez, PSY.D.

  • Clinical Psychologist
  • Atascadero, CA
National Provider Identifier
1508211764
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY32091 Issued in CA
Practice address
8575 Morro Rd Ste G
Atascadero, CA 93422-3926
Phone
(530) 957-2349
NPI assigned
Apr 25, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY32091 CA Primary

Addresses

Primary practice location

8575 Morro Rd Ste G
Atascadero, CA 93422-3926

Mailing address

8575 Morro Rd Ste G
Atascadero, CA 93422-3926
Phone (530) 957-2349

Other practice location 1

Colony Dr
San Luis Obispo, CA 93409-0001
Phone (805) 547-7900

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
PSY32091CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Healing Psychotherapy & Assessment Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691020800000",
    "number": "1508211764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8575 MORRO RD STE G",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223926",
            "telephone_number": "530-957-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 MORRO RD STE G",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934223926",
            "telephone_number": "530-957-2349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Colony Dr",
            "address_purpose": "LOCATION",
            "city": "San Luis Obispo",
            "state": "CA",
            "postal_code": "934090001",
            "country_code": "US",
            "telephone_number": "805-547-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "CHRISTINE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.