Larry Kenneth Hetrick Jr., M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G078733 Issued in CA

Practice address

606 Wilson Ave
Novato, CA 94947-3817

Phone

(415) 713-0321

Fax

(415) 895-5548

NPI assigned

Mar 13, 2007

Sex

Male

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1962535419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14880",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941140880",
            "telephone_number": "415-713-0321",
            "fax_number": "415-895-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473817",
            "telephone_number": "415-713-0321",
            "fax_number": "415-895-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "LARRY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G078733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Casas Hernandez
• Angelica Herrera
• Douglas Brian Heslip, D.C.
• Tracey Michelle Hessel, M.D.
• Natalie Hession, SLP
• Christina Hetzer
• Dallas Hale Hickle, DDS
• Gregory Thomas Hinman, 225400000X
• Bashar Hinnawi, DMD
• Hired Hands Inc.

• Psychiatry Physician in Novato, CA
• Providers in Novato, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.