Healthcare Provider Details

I. General information

NPI: 1518186683
Provider Name (Legal Business Name): HERMAN & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1137 HUNTINGTON DR SUITE A-2
SOUTH PASADENA CA
91030-4563
US

IV. Provider business mailing address

1137 HUNTINGTON DR SUITE A-2
SOUTH PASADENA CA
91030-4563
US

V. Phone/Fax

Practice location:
  • Phone: 323-344-0123
  • Fax: 323-344-0132
Mailing address:
  • Phone: 323-344-0123
  • Fax: 323-344-0132

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY10916
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPSY10916
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License NumberPSY10916
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY10916
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY10916
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY10916
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPSY10916
License Number StateCA
# 8
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMN24462
License Number StateCA
# 9
Primary TaxonomyY
Taxonomy Code103TM1800X
TaxonomyIntellectual & Developmental Disabilities Psychologist
License NumberPSY10916
License Number StateCA

VIII. Authorized Official

Name: DR. KENNETH L. HERMAN
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 323-344-0123