Individual provider Active NPI

Danielle Cara Hergert, PH.D.

  • Clinical Neuropsychologist
  • Albuquerque, NM
National Provider Identifier
1639956568
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY1548 Issued in NM
Practice address
11005 Spain Rd NE Ste 12
Albuquerque, NM 87111-1871
Phone
(718) 755-5042
NPI assigned
Sep 13, 2023
Last updated
Feb 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY1548 NM Primary

Addresses

Primary practice location

11005 Spain Rd NE Ste 12
Albuquerque, NM 87111-1871

Mailing address

11005 Spain Rd NE Ste 12
Albuquerque, NM 87111-1871
Phone (505) 289-0779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1548NMMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1639956568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11005 SPAIN RD NE STE 12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111871",
            "telephone_number": "505-289-0779",
            "fax_number": "505-234-7948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11005 SPAIN RD NE STE 12",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871111871",
            "telephone_number": "718-755-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERGERT",
        "first_name": "DANIELLE",
        "middle_name": "CARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NM",
            "license": "PSY1548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.