Individual provider Active NPI

Karen Kazuko Herreman, OTRL

  • Mental Health Occupational Therapist
  • San Jose, CA
National Provider Identifier
1821176421
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Occupational TherapistTaxonomy code 225XM0800X
License
OT318 Issued in CA
Practice address
195 E San Fernando St
San Jose, CA 95112-3503
Phone
(408) 899-7142
Fax
(408) 514-2384
NPI assigned
Nov 1, 2006
Last updated
Jun 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OT 318 CA
Mental Health Occupational Therapist 225XM0800X OT318 CA Primary

Addresses

Primary practice location

195 E San Fernando St
San Jose, CA 95112-3503

Mailing address

2625 Zanker Rd Ste 200
San Jose, CA 95134-2130
Phone (408) 468-0100

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

State licenses

LicenseStateTypeSpecialty
OT 318CAMDMental Health Counselor
OT318CAMDMental Health Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1821176421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 ZANKER RD STE 200",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951342130",
            "telephone_number": "408-468-0100",
            "fax_number": "408-944-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 E SAN FERNANDO ST",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951123503",
            "telephone_number": "408-899-7142",
            "fax_number": "408-514-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREMAN",
        "first_name": "KAREN",
        "middle_name": "KAZUKO",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "OT 318",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "CA",
            "license": "OT318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.