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CARLOS B HEREDIA PH.D.
NPI 1225433196
Psychologist - Clinical in Brooklyn, NY

Active since November 04, 2014
929 BUSHWICK AVE, BROOKLYN, NY 11221(718) 452-2944 Get Directions Write a Review

NPPES record last updated: November 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Carlos B Heredia Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CARLOS B HEREDIA PH.D. (NPI 1225433196) is an individual clinical provider in Brooklyn, New York, licensed in New York (011266) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1225433196
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameCARLOS B HEREDIACredential: PH.D.
Location Address929 BUSHWICK AVEBrooklyn, NY 11221-3737
Mailing Address929 Bushwick AveBrooklyn, NY 11221-3737 · (718) 452-2944
Phone(718) 452-2944
Sole ProprietorYes
Enumeration DateNovember 4, 2014
✔ NPI 1225433196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 011266
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
929 BUSHWICK AVE, Brooklyn, NY 11221
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carlos Heredia's NPI number?

The NPI number for Carlos Heredia is 1225433196. It was assigned to this individual provider in the NPPES registry on November 4, 2014.

Where is Carlos Heredia located?

Carlos Heredia practices at 929 Bushwick Ave, Brooklyn, NY 11221. The listed phone number is (718) 452-2944.

What is Carlos Heredia's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Carlos Heredia was last updated on November 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.