DR. LARRY KENNETH HETRICK JR. M.D.
NPI 1962535419
Psychiatry & Neurology - Psychiatry in Novato, CA

Q: What is Larry Hetrick's NPI number?

The NPI number for Larry Hetrick is 1962535419. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Q: What is Larry Hetrick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Larry Hetrick was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 13, 2007

606 WILSON AVENUE, NOVATO, CA 94947(415) 567-0321(415) 647-0321 Get Directions Write a Review

NPPES record last updated: May 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Larry Kenneth Hetrick Jr. M.d. NPPES

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

DR. LARRY KENNETH HETRICK JR. M.D. (NPI 1962535419) is an individual psychiatry provider in Novato, California, licensed in California (G078733) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1962535419

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. LARRY KENNETH HETRICK JR.Credential: M.D.

Location Address606 WILSON AVENUENovato, CA 94947-3817

Mailing AddressP.o. Box 14880San Francisco, CA 94114-0880 · (415) 567-0321 · Fax (415) 895-5548

Phone(415) 567-0321

Fax(415) 647-0321

Sole ProprietorYes

Enumeration DateMarch 13, 2007

Last NPPES UpdateMay 17, 2022

NPPES CertifiedMay 17, 2022

✔ NPI 1962535419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · G078733

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

606 WILSON AVENUE, Novato, CA 94947

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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 Larry Hetrick's NPI number?

The NPI number for Larry Hetrick is 1962535419. It was assigned to this individual provider in the NPPES registry on March 13, 2007.

Where is Larry Hetrick located?

Larry Hetrick practices at 606 Wilson Avenue, Novato, CA 94947. The listed phone number is (415) 567-0321.

What is Larry Hetrick's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Larry Hetrick was last updated on May 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.