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MARY LUCINDA HERZOG PHD
NPI 1932280112
Psychologist - Clinical in Santa Ana, CA

Active since October 17, 2006Opted out of Medicare · through Jan 15, 2028
405 W. 5TH ST., STE 590, SANTA ANA, CA 92701(714) 834-5015 Get Directions Write a Review

NPPES record last updated: August 27, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Lucinda Herzog Phd NPPES

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

MARY LUCINDA HERZOG PHD (NPI 1932280112) is an individual clinical provider in Santa Ana, California, licensed in California (PSY17932) and active in the NPI registry since October 2006. She has opted out of Medicare through January 15, 2028.

NPPES Registry Identity

NPI1932280112
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMARY LUCINDA HERZOGCredential: PHD
Location Address405 W. 5TH ST., STE 590Santa Ana, CA 92701
Mailing AddressPo Box 4431Laguna Beach, CA 92652-4431
Phone(714) 834-5015
Sole ProprietorYes
Enumeration DateOctober 17, 2006
Last NPPES UpdateAugust 27, 2009
✔ NPI 1932280112 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 CA · PSY17932
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.
405 W. 5TH ST., Santa Ana, CA 92701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mary Lucinda Herzog Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 15, 2024 through January 15, 2028.

Opt-Out Effective DateJanuary 15, 2024
Opt-Out In Effect ThroughJanuary 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

CATHERINE MARY MCHUGH
Counselor (Mental Health)
405 W. 5TH ST., CYS STE 590
SANTA ANA, CA 92701
Orange County (714) 834-5015
MS. KATHRYN BECKWITH PAVICH LMFT
Marriage & Family Therapist
405 W. 5TH ST., SUITE 212
SANTA ANA, CA 92701
Orange County (714) 834-3602

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 Mary Herzog's NPI number?

The NPI number for Mary Herzog is 1932280112. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Mary Herzog located?

Mary Herzog practices at 405 W. 5th St. Ste 590, Santa Ana, CA 92701. The listed phone number is (714) 834-5015.

What is Mary Herzog's specialty?

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

Is Mary Herzog enrolled in Medicare?

No. Mary Herzog has opted out of Medicare through January 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mary Herzog was last updated on August 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.