Active NPI
Tanya B. Hernandez, PSYD LLC
- Community/Behavioral Health Agency
- Rockville, MD
National Provider Identifier
1730322686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 3982
- Legal business name
- TANYA B. HERNANDEZ, PSYD LLC
- Practice address
- 932 Hungerford Dr
Suite 37 a
Rockville, MD 20850-1713 - Phone
- (301) 257-4599
- Fax
- (301) 330-6435
- NPI assigned
- Apr 8, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tanya B Hernandez, PSY.D.
- Title
- Licensed Psychologist
- Phone
- (301) 257-4599
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 3982 | MD | Primary |
Addresses
Primary practice location
932 Hungerford Dr
Suite 37 a
Rockville, MD 20850-1713
Mailing address
5714 Avery Park Dr
Derwood, MD 20855-1738
Phone (301) 257-4599
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 491976 | Other | MD | MIN |
| 1972620607 | Other | MD | PERSONAL NPI |
| 408321100 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7801 Norfolk Ave
Ste 111
Bethesda, MD 20814
Phone (301) 257-4599
932 Hungerford Dr
Ste 37A
Rockville, MD 20850
Phone (301) 246-3381
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1239148800000",
"number": "1730322686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5714 AVERY PARK DR",
"city": "DERWOOD",
"state": "MD",
"postal_code": "208551738",
"telephone_number": "301-257-4599",
"fax_number": "301-330-6435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "932 HUNGERFORD DR",
"address_2": "SUITE 37 A",
"city": "ROCKVILLE",
"state": "MD",
"postal_code": "208501713",
"telephone_number": "301-257-4599",
"fax_number": "301-330-6435"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TANYA B. HERNANDEZ, PSYD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "TANYA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "301-257-4599",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MD",
"license": "3982",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIN",
"identifier": "491976",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1972620607",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "408321100",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.