Jacqueline Hernandez, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

014093-1 Issued in NY

Practice address

344 Carnation Dr
Farmingdale, NY 11735-7014

Phone

(516) 586-4791

NPI assigned

Jan 5, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Senior Care Therapy Psychology of New York PLLC

  • Clinical Psychologist
  • Flushing, NY
  • NPI 1437628203
  NPD

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

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1861762965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 CARNATION DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117357014",
            "telephone_number": "516-586-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 CARNATION DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117357014",
            "telephone_number": "516-586-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "JACQUELINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014093-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Edward Hegarty Jr.
• Rachel Heller, OTR/L
• Robin Heller, MA
• Narisia Henry-Benjamin
• Ayisha Monique Henry, MSED
• David Herr
• Jana Lori Herr, P.T., M.S.
• Jessica L Herzing, MA, BCBA
• Heskell Chiropractic Healing P.C.
• Donna J Heuskin, MSED

• Psychologist in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.

Verify at the official NPI Registry.