Active NPI
Mieczyslaw J. Hetnal, M.D.
- Psychiatry Physician
- Modesto, CA
National Provider Identifier
1841226149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A46601
- Practice address
- 3425 Coffee Rd
Suite 2a
Modesto, CA 95355-1582 - Phone
- (209) 524-9401
- NPI assigned
- Jun 25, 2006
- Last updated
- Sep 3, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A46601 | CA | Primary |
Addresses
Primary practice location
3425 Coffee Rd
Suite 2a
Modesto, CA 95355-1582
Mailing address
600 Coffee Rd
Modesto, CA 95355-4201
Phone (209) 521-6097
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A46601 | CA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1841226149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953554201",
"telephone_number": "209-521-6097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 COFFEE RD",
"address_2": "SUITE 2A",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551582",
"telephone_number": "209-524-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HETNAL",
"first_name": "MIECZYSLAW",
"middle_name": "J.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-25",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A46601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.