Brenda Hernandez, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

071.008333 Issued in IL

Practice address

555 W Cornelia Ave Apt 711
Chicago, IL 60657-2723

Phone

(915) 328-1087

NPI assigned

Jun 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Interoperability endpoints

• Direct secure messaging: bhernandez244804@direct.northshore.org

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1548674336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W CORNELIA AVE APT 711",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572723",
            "telephone_number": "915-328-1087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W CORNELIA AVE APT 711",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572723",
            "telephone_number": "915-328-1087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "BRENDA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-19",
        "last_updated": "2021-06-12",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": "071.008333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bhernandez244804@direct.northshore.org",
            "affiliation": "N",
            "address_1": "909 Davis St",
            "city": "Evanston",
            "state": "IL",
            "country_code": "US",
            "postal_code": "602013683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Araceli Hernandez
• Arely Hernandez, PA-C
• Arryana Xhantee Hernandez
• Ashley K Hernandez
• Bianca Hernandez
• Cecilia Hernandez
• Christina Maria Hernandez
• Claudia Hernandez, LPC
• Claudia Hernandez, MD
• Damaris Guadalupe Hernandez

• Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; 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.