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VIVIAN O. HERNANDEZ PH.D., HSPP
NPI 1396735064
Psychologist - Clinical in Fort Wayne, IN

Active since October 25, 2005
909 E STATE BLVD, FORT WAYNE, IN 46805(260) 481-2700(260) 481-2717 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivian O. Hernandez Ph.d., Hspp NPPES

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

VIVIAN O. HERNANDEZ PH.D., HSPP (NPI 1396735064) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (20040516A) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1396735064
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameVIVIAN O. HERNANDEZCredential: PH.D., HSPP
Location Address909 E STATE BLVDFort Wayne, IN 46805-3404
Mailing Address909 E State BlvdFort Wayne, IN 46805-3404 · (260) 481-2700 · Fax (260) 481-2717
Phone(260) 481-2700
Fax(260) 481-2717
Sole ProprietorNo
Enumeration DateOctober 25, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396735064 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 IN · 20040516A
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.
909 E STATE BLVD, Fort Wayne, IN 46805
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Other Identifiers 2

Medicare ID-Type Unspecified667610CIN
Medicare UPINR99228IN

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY LESLEY WASHINGTON
Counselor
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JENNIFER PERRY MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MICHELLE ELISE WIESE MD
Psychiatry & Neurology (Psychiatry)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
SARAH MICHELLE MOORE APRN-CNM, PMHNP-BC
Nurse Practitioner
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
JULIE NAY WINN BS
Case Manager/Care Coordinator
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
TONYA J EIDEN LMHC, MS
Counselor (Mental Health)
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
ANGELA C DESPENZA LPN
Licensed Practical Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700
MEGAN I FIGUEROA RN
Registered Nurse
909 E STATE BLVD
FORT WAYNE, IN 46805
Allen County (260) 481-2700

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 Vivian Hernandez's NPI number?

The NPI number for Vivian Hernandez is 1396735064. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Vivian Hernandez located?

Vivian Hernandez practices at 909 E State Blvd, Fort Wayne, IN 46805. The listed phone number is (260) 481-2700.

What is Vivian Hernandez'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 Vivian Hernandez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.