Active NPI
Jifune Hermiz, MA, DTLLP
- Clinical Psychologist
- Southfield, MI
National Provider Identifier
1013882240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6352001048
- Practice address
- 17515 W 9 Mile Rd Ste 240
Southfield, MI 48075-4423 - Phone
- (248) 679-2188
- NPI assigned
- Oct 7, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6352001048 | MI | Primary |
Addresses
Primary practice location
17515 W 9 Mile Rd Ste 240
Southfield, MI 48075-4423
Mailing address
17515 W 9 Mile Rd Ste 240
Southfield, MI 48075-4423
Phone (248) 679-2188
Other practice location 1
17000 Executive Plaza Dr
Dearborn, MI 48126-2793
Phone (248) 429-9145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6352001048 | MI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1013882240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17515 W 9 MILE RD STE 240",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754423",
"telephone_number": "248-679-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17515 W 9 MILE RD STE 240",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754423",
"telephone_number": "248-679-2188"
}
],
"practiceLocations": [
{
"address_1": "17000 Executive Plaza Dr",
"address_purpose": "LOCATION",
"city": "Dearborn",
"state": "MI",
"postal_code": "481262793",
"country_code": "US",
"telephone_number": "248-429-9145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERMIZ",
"first_name": "JIFUNE",
"credential": "MA, DTLLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6352001048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.