Herminia Hermogenes, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

219212 Issued in NY

Practice address

998 Crooked Hill Rd
BLDG. 56
West Brentwood, NY 11717-1043

Phone

(631) 761-2082

Fax

(631) 761-2282

NPI assigned

Jun 23, 2006

Last updated

Nov 12, 2024By the provider in NPPES

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

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • West Brentwood, NY
  • NPI 1578627485
  Medicare reassignment NPD
• Nys Office of Mental Health

  • Adult Mental Health Clinic/Center
  • Rochester, NY
  • NPI 1730243643
  NPD
• Nys Office of Mental Health

  • Psychiatric Hospital
  • West Brentwood, NY
  • NPI 1740344910
  NPD

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1891721916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7618 69TH PL",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857134",
            "telephone_number": "347-223-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 CROOKED HILL RD",
            "address_2": "BLDG. 56",
            "city": "WEST BRENTWOOD",
            "state": "NY",
            "postal_code": "117171043",
            "telephone_number": "631-761-2082",
            "fax_number": "631-761-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMOGENES",
        "first_name": "HERMINIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "219212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Grasso, MS, RD, CDN
• Kim Hagstrom, OTR/L
• M Danielle Hamilton, LCSW
• Diajah Harry
• Amyr Rizwan Hashmi, M.D.
• Syed Hussain
• Binoy Jacob
• Sandya Jeyamitra, M.D.
• Marvin Anthony Jules, RN, ASN
• Geraldine Kearns

• Psychiatry Physician in West Brentwood, NY
• Providers in West Brentwood, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.