Individual provider Active NPI

Lindsay E Mitchell Hernandez, PHD.

  • Clinical Psychologist
  • West Hartford, CT
National Provider Identifier
1689010654
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003988 Issued in CT
Practice address
65 Memorial Road, Suite 435
Hartford Hospital Psych Dept-Pain Treatment Center
West Hartford, CT 06107-2434
Phone
(860) 696-2840
NPI assigned
May 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003988 CT Primary

Addresses

Primary practice location

65 Memorial Road, Suite 435
Hartford Hospital Psych Dept-Pain Treatment Center
West Hartford, CT 06107-2434

Mailing address

65 Memorial Road, Suite 435
Hartford Hospital Pain Treatment Center
West Hartford, CT 06107-2434
Phone (860) 696-2840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511001408 CT Practitioner - Clinical Psychologist 5092124636 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hartford Healthcare Medical Group Specialists PLLCGroup PAC ID 3173866241, 1,555 clinicians

Practice addresses (Care Compare)

65 Memorial Rd
Suite 430
West Hartford, CT 06107-4220
Phone (860) 231-0751

Merit-based Incentive Payment System (MIPS)

Final score
92.63 of 100Reported as group
Quality
75.35
Promoting interoperability
100
Improvement activities
40
Cost
71.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
003988CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hartford Healthcare Medical Group Specialists, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Hartford Healthcare Medical Group Specialists LLC CurrentSince Jan 1, 2025 Accepting new patients
Hartford Hospital CurrentSince Jul 1, 2021 Accepting new patients
Hartford Hospital CurrentSince Jul 1, 2021 Accepting new patients

Locations

1244 Storrs Rd
Storrs Mansfield, CT 06268
Phone (860) 724-2579

65 Memorial Rd
Ste 435
West Hartford, CT 06107
Phone (860) 696-2840

65 Memorial Rd
West Hartford, CT 06107
Phone (860) 231-1707

65 Memorial Rd
Ste 430
West Hartford, CT 06107
Phone (860) 231-0751

1290 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 972-6977

Interoperability endpoints

  • Direct secure messaging: lindsay.mitchellhernandez@xdr.hhchealthdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1368748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1689010654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 MEMORIAL ROAD, SUITE 435",
            "address_2": "HARTFORD HOSPITAL PAIN TREATMENT CENTER",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072434",
            "telephone_number": "860-696-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 MEMORIAL ROAD, SUITE 435",
            "address_2": "HARTFORD HOSPITAL PSYCH DEPT-PAIN TREATMENT CENTER",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072434",
            "telephone_number": "860-696-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL HERNANDEZ",
        "first_name": "LINDSAY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-17",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hartford, CT

Sources for this page

Verify at the official NPI Registry.