Active NPI
Michelle Herrejon, MD, BCBA
- Behavior Analyst
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- Practice address
- 2262 Harvard St
Palo Alto, CA 94306-1351 - Phone
- (530) 329-3070
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 16-25526 | CA | |
| Behavior Analyst | 103K00000X | Primary |
Addresses
Primary practice location
2262 Harvard St
Palo Alto, CA 94306-1351
Mailing address
228 Hamilton Ave FL 3
Palo Alto, CA 94301-2583
Other practice location 1
1901 Royal Oaks Dr Ste 201
Sacramento, CA 95815-4235
Phone (916) 923-1789
Other practice location 2
8950 Cal Center Dr Ste 137
Sacramento, CA 95826-3236
Phone (916) 932-3172
Other practice location 3
2751 Wilmington Ave
Sacramento, CA 95820-1048
Phone (916) 923-1789
Other names 1
- Michelle Herrejon
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16-25526 | CA | MD | Behavior Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Education, Inc. | Behavior Analyst | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661212800000",
"number": "1699276535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 HAMILTON AVE FL 3",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943012583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2262 HARVARD ST",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061351",
"telephone_number": "530-329-3070"
}
],
"practiceLocations": [
{
"address_1": "1901 Royal Oaks Dr Ste 201",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958154235",
"country_code": "US",
"telephone_number": "916-923-1789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8950 Cal Center Dr Ste 137",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958263236",
"country_code": "US",
"telephone_number": "916-932-3172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2751 Wilmington Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958201048",
"country_code": "US",
"telephone_number": "916-923-1789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERREJON",
"first_name": "MICHELLE",
"credential": "MD, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-26",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "16-25526",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "HERREJON",
"credential": "BCBA, M.ED",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.