Individual provider Active NPI

Diana Christine Hereld, PSYD

  • Clinical Neuropsychologist
  • Los Angeles, CA
National Provider Identifier
1871460840
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY35684 Issued in CA
Practice address
1931 Overland Ave Apt 302
Los Angeles, CA 90025-5895
Phone
(360) 990-5283
NPI assigned
Oct 22, 2025
Last updated
Nov 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY35684 CA Primary
Clinical Psychologist 103TC0700X PSY35684 CA

Addresses

Primary practice location

1931 Overland Ave Apt 302
Los Angeles, CA 90025-5895

Mailing address

1931 Overland Ave Apt 302
Los Angeles, CA 90025-5895

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260304001494 CA Practitioner - Clinical Psychologist 6204318777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

500 University Ave
Suite 220
Sacramento, CA 95825-6525
Phone (916) 286-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY35684CAMDClinical Psychologist
35684CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Feb 18, 2026 Accepting new patients
Regents of the Univ of Ca CurrentSince Feb 18, 2026 Accepting new patients
University of California, Davis Past Accepting new patients

Locations

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 3700
Sacramento, CA 95817
Phone (916) 734-3514

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1871460840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 OVERLAND AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 OVERLAND AVE APT 302",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900255895",
            "telephone_number": "360-990-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERELD",
        "first_name": "DIANA",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY35684",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35684",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.