Maddison Herrick, M.A., LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

132997 Issued in CA

Practice address

4100 Campus Dr Ste 150
Newport Beach, CA 92660-1931

Phone

(714) 808-2147

NPI assigned

Aug 9, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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.

• Nancy Caltagirone

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tustin, CA
  • NPI 1306459292
  NPD

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

{
    "created_epoch": "1596931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1568072049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 CAMPUS DR STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 CAMPUS DR STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601931",
            "telephone_number": "714-808-2147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 W Main St Ste 200I",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927807742",
            "country_code": "US",
            "telephone_number": "714-241-8400 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "MADDISON",
        "credential": "M.A., LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-09",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "132997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Hernandez, LMFT
• Vanessa Yamileth Hernandez
• Veronica Denise Hernandez
• Eliza Rene Herrera
• Eric Jesus Herrera
• Natalie Marie Herriott, AMFT, APCC
• Geoffrey Mark Hersch, DDS
• Rachel Hertzberg, LVN
• Ngozi Heru
• David Charles Herzlinger, M.D.

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.