Individual provider Active NPI

James I Gerhart, PH.D.

  • Clinical Psychologist
  • Mount Pleasant, MI
National Provider Identifier
1124457734
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071008676 Issued in IL
Practice address
201 S University Ave
Mount Pleasant, MI 48858-2527
Phone
(899) 779-8999
Fax
(989) 779-2219
NPI assigned
Nov 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071008676 IL Primary

Addresses

Primary practice location

201 S University Ave
Mount Pleasant, MI 48858-2527

Mailing address

1725 W Harrison St
Suite 950
Chicago, IL 60612-3841
Phone (312) 942-8709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181211003582 MI Practitioner - Clinical Psychologist 2466689203 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071008676ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Perspectives Psychological Associates of Midmichigan LLC Clinical CurrentSince Dec 1, 2018 Accepting new patients

Locations

104 W Wackerly St
Midland, MI 48640
Phone (989) 486-3021

201 S University Ave
Mt Pleasant, MI 48858
Phone (989) 572-0246

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1383523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563494400000",
    "number": "1124457734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST",
            "address_2": "SUITE 950",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123841",
            "telephone_number": "312-942-8709",
            "fax_number": "312-563-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S UNIVERSITY AVE",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488582527",
            "telephone_number": "899-779-8999",
            "fax_number": "989-779-2219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERHART",
        "first_name": "JAMES",
        "middle_name": "I",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-04",
        "last_updated": "2019-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, MI

Sources for this page

Verify at the official NPI Registry.