Active NPI
Amado F Hernandez, PH.D.
- Clinical Neuropsychologist
- Lynn, MA
National Provider Identifier
1619061603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 7760
- Practice address
- 150 Market St FL 2
Lynn, MA 01901-1529 - Phone
- (781) 913-4017
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- 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 Neuropsychologist | 103G00000X | 7760 | MA | Primary |
Addresses
Primary practice location
150 Market St FL 2
Lynn, MA 01901-1529
Mailing address
203 Washington St # 141
Salem, MA 01970-3607
Phone (781) 913-4017
Other practice location 1
60 Island St Ste 206
Lawrence, MA 01840-1835
Phone (781) 913-4017
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1890379 | Other | MA | MBHP |
| 395667 | Other | MA | MAGELLAN |
| 1890379 | Medicaid | MA | |
| W06110 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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 |
|---|---|---|---|---|
| I20080218000242 | MA | Practitioner - Clinical Psychologist | 0244313021 | Practice locations: Lynn, MA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7760 | MA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Square Therapy Associates | Current | Accepting new patients | |
| Central Square Therapy Associates | Current | Accepting new patients | |
| Northeast Behavioral Health Corporation | Past | Accepting new patients | |
| Northeast Hospital Corporation | Past | Accepting new patients |
Locations
60 Island St
Ste 206
Lawrence, MA 01840
Phone (781) 913-4017
150 Market St
#2
Lynn, MA 01901
Phone (781) 592-6100
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lynn, MA
- NPI 1093942914
-
- Clinical Psychologist
- Lynn, MA
- NPI 1194934026
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Beverly, MA
- NPI 1154302586
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776988800000",
"number": "1619061603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 WASHINGTON ST # 141",
"city": "SALEM",
"state": "MA",
"postal_code": "019703607",
"telephone_number": "781-913-4017",
"fax_number": "978-336-0266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 MARKET ST FL 2",
"city": "LYNN",
"state": "MA",
"postal_code": "019011529",
"telephone_number": "781-913-4017"
}
],
"practiceLocations": [
{
"address_1": "60 Island St Ste 206",
"address_purpose": "LOCATION",
"city": "Lawrence",
"state": "MA",
"postal_code": "018401835",
"country_code": "US",
"telephone_number": "781-913-4017",
"fax_number": "781-658-2213",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "AMADO",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2026-04-24",
"certification_date": "2026-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "7760",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "1890379",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "395667",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1890379",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "W06110",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.