Active NPI
Karen Carlquist-Hernandez, ED.D.
- Clinical Psychologist
- Merced, CA
National Provider Identifier
1902824592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY10848
- Practice address
- 3319 M St
Merced, CA 95348-2714 - Phone
- (209) 385-3585
- Fax
- (209) 385-3578
- NPI assigned
- Jul 18, 2006
- Last updated
- Jan 19, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY10848 | CA | Primary |
Addresses
Primary practice location
3319 M St
Merced, CA 95348-2714
Mailing address
3319 M St
Merced, CA 95348-2714
Phone (209) 385-3585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY10848 | Other | CA | STATE LICENSE NUMBER |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY10848 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1902824592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3319 M ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953482714",
"telephone_number": "209-385-3585",
"fax_number": "209-385-3578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 M ST",
"city": "MERCED",
"state": "CA",
"postal_code": "953482714",
"telephone_number": "209-385-3585",
"fax_number": "209-385-3578"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLQUIST-HERNANDEZ",
"first_name": "KAREN",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY10848",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "PSY10848",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.