Charles Fernandez Herr, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

011493 Issued in NY

Practice address

80 Eighth Avenue
Suite 1305
New York, NY 10011-5126

Phone

(917) 714-2348

Fax

(212) 238-7009

NPI assigned

Jul 13, 2006

Last updated

Sep 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

Practice roles

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

• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1558386318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STUYVESANT OVAL",
            "address_2": "APT. 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100092145",
            "telephone_number": "917-714-2348",
            "fax_number": "212-238-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 EIGHTH AVENUE",
            "address_2": "SUITE 1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115126",
            "telephone_number": "917-714-2348",
            "fax_number": "212-238-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "CHARLES",
        "middle_name": "FERNANDEZ",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "011493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hero Health, Inc.
• Betsy Herold, M.D.
• Amy Eliza Heron, DPT
• Larissa Heron
• Andrea Marie Herr, ANP
• Harry W Herr, MD
• Khalina Herrand
• Farahdeba Herrawi, BS
• Nicolas Herrera Crosta
• Yasmin Ivette Herrera Juan, MD

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.