Active NPI
Robin M. Hertz, PHD
- Clinical Psychologist
- Battle Ground, WA
National Provider Identifier
1891177143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3278
- Practice address
- 3314 W Main St Ste 101
Battle Ground, WA 98604-4213 - Phone
- (541) 321-6778
- NPI assigned
- Jun 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | 3278 | OR | Primary |
| Psychologist | 103T00000X | 3278 | OR |
Addresses
Primary practice location
3314 W Main St Ste 101
Battle Ground, WA 98604-4213
Mailing address
3314 W Main St Ste 101
Battle Ground, WA 98604-4213
Phone (541) 321-6778
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500702565 | Medicaid | OR | |
| PSYC.PY.70122752 | Other | WA | DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201123000568 | OR | Practitioner - Clinical Psychologist | 6103237243 | Practice locations: Eugene, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3278 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787961600000",
"number": "1891177143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3314 W MAIN ST STE 101",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044213",
"telephone_number": "541-321-6778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3314 W MAIN ST STE 101",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044213",
"telephone_number": "541-321-6778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTZ",
"first_name": "ROBIN",
"middle_name": "M.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-23",
"last_updated": "2026-08-29",
"certification_date": "2026-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OR",
"license": "3278",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OR",
"license": "3278",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500702565",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF HEALTH",
"identifier": "PSYC.PY.70122752",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; 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.