Healthcare Provider Details

I. General information

NPI: 1730252511
Provider Name (Legal Business Name): SIMONE G HERNANDEZ MA, PPS SCHOOL PSYCH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 LISA LN
PLEASANT HILL CA
94523-3902
US

IV. Provider business mailing address

2400 LISA LN
PLEASANT HILL CA
94523-3902
US

V. Phone/Fax

Practice location:
  • Phone: 925-682-8000
  • Fax: 925-682-4561
Mailing address:
  • Phone: 925-682-8000
  • Fax: 925-682-4561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: