Provider Demographics
NPI:1568018075
Name:HERMES, JET
Entity type:Individual
Prefix:DR
First Name:JET
Middle Name:
Last Name:HERMES
Suffix:
Gender:
Credentials:
Other - Prefix:DR
Other - First Name:ZILI
Other - Middle Name:
Other - Last Name:HE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2570 N 1ST STREET 2ND FLOOR
Mailing Address - Street 2:1055
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95131
Mailing Address - Country:US
Mailing Address - Phone:650-613-9897
Mailing Address - Fax:
Practice Address - Street 1:2570 N 1ST STREET 2ND FLOOR
Practice Address - Street 2:1055
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131
Practice Address - Country:US
Practice Address - Phone:650-613-9897
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-12
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY35590103T00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist