Michael Hernandez, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3754 Issued in OH

Practice address

170 Northwoods Blvd
Suite 220
Columbus, OH 43235-4711

Phone

(614) 888-4752

Fax

(614) 888-1014

NPI assigned

Sep 20, 2006

Last updated

Jul 9, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2017 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1982702585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NORTHWOODS BLVD",
            "address_2": "SUITE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354711",
            "telephone_number": "614-888-4752",
            "fax_number": "614-888-1014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NORTHWOODS BLVD",
            "address_2": "SUITE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354711",
            "telephone_number": "614-888-4752",
            "fax_number": "614-888-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293365",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Osiel Hernandez, PHARMD
• Deisy N Hernandez
• Jamie Hernandez, DO
• Janie Hernandez, LPCCS
• Jesus Efrain Hernandez, DMD
• Pablo D Hernandez, M.D.
• Yanicey Hernandez
• Jennifer Parks Herndon, M.S. LPC-CR
• Lindsay Anne Herndon, APRN-CNS
• Vanessa Herndon, EDS

• Clinical Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.