Active NPI
Michelle Aracelys Herrera, PHD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1548921810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 024721
- Practice address
- 635 W 165TH St FL 6
New York, NY 10032-3724 - Phone
- (929) 356-4748
- NPI assigned
- Jan 7, 2022
- Last updated
- Jan 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 024721 | NY | Primary |
Addresses
Primary practice location
635 W 165TH St FL 6
New York, NY 10032-3724
Mailing address
635 W 165TH St FL 6
New York, NY 10032-3724
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | michelleherreraphd@gmail.com | Direct | Columbia University Medical Center - New York Presbyterian Hospital |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241104002079 | NY | Order and Referring Only - Clinical Psychologist | 4385177906 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024721 | NY | MD | Clinical Psychologist |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641513600000",
"number": "1548921810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W 165TH ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 W 165TH ST FL 6",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323724",
"telephone_number": "929-356-4748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "MICHELLE",
"middle_name": "ARACELYS",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-07",
"last_updated": "2022-01-07",
"certification_date": "2022-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "024721",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "michelleherreraphd@gmail.com",
"affiliation": "Y",
"affiliationName": "Columbia University Medical Center - New York Presbyterian Hospital",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "635 W 165th St Fl 6",
"city": "New York",
"state": "NY",
"country_code": "US",
"postal_code": "100323724",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.