Rebecca Hern, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP5960 Issued in MN

Practice address

209 Churchill St W Ste 102
Stillwater, MN 55082-6297

Phone

(651) 564-9912

NPI assigned

Dec 31, 2015

Sex

Female

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Dec 11, 2023 through Dec 11, 2027

Medicare enrollment (NPD)

Enrolled

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.

• Dr. Rebecca Hern, PLLC

  • Clinical Psychologist
  • Stillwater, MN
  • NPI 1326531724
  NPD Authorized official

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1689039901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CHURCHILL ST W STE 102",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826297",
            "telephone_number": "651-564-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CHURCHILL ST W STE 102",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826297",
            "telephone_number": "651-564-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERN",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP5960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Reeves Henly, M.D.
• Samantha Hennessey
• Angela Dawn Hennies, RN, PHN
• Henseler Orthodontics
• Jamie R Hermes, M.A., LPCC
• Meg D Herrera, PT
• Beth Renee Heyer, NP
• Cori Marie Hildebrandt, LPC
• Robert Olof Hildebrandt, MD
• Camryn Marie Hill

• Psychologist in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.