Active NPI
Nicole Joanette Hernandez, PHD
- Psychologist
- Guaynabo, PR
National Provider Identifier
1699306589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 006497
- Practice address
- Carr. 833 Vistas de la Colina Apt. 2301
Guaynabo, PR 00969 - Phone
- (787) 508-9488
- NPI assigned
- Jan 29, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 006497 | PR | Primary |
Addresses
Primary practice location
Carr. 833 Vistas de la Colina Apt. 2301
Guaynabo, PR 00969
Mailing address
Carr. 833 Vistas de la Colina Apt. 2301
Guaynabo, PR 00969
Phone (787) 508-9488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- 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 |
|---|---|---|---|---|
| I20220812000004 | PR | Practitioner - Clinical Psychologist | 5193108967 | Practice locations: Mayaguez, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006497 | PR | MD | Psychologist |
| 6497 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737504000000",
"number": "1699306589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR. 833 VISTAS DE LA COLINA APT. 2301",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-508-9488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 833 VISTAS DE LA COLINA APT. 2301",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00969",
"telephone_number": "787-508-9488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERNANDEZ",
"first_name": "NICOLE",
"middle_name": "JOANETTE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-29",
"last_updated": "2025-01-22",
"certification_date": "2025-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "006497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guaynabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.