Organization Active NPI

Scheerbert Psychological, PLLC

  • Clinical Psychologist
  • Grosse Pointe, MI
National Provider Identifier
1174050751
Registry record updated May 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301006332 Issued in MI
Legal business name
SCHEERBERT PSYCHOLOGICAL, PLLC
Practice address
18090 Mack Ave
Suite 4
Grosse Pointe, MI 48230-6251
Phone
(248) 415-4471
NPI assigned
May 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2017

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

Authorized official

Name
Thomas Alan Hulbert, PH.D.NPI 1841273570
Title
President
Phone
(248) 415-4471

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 6301006332 MI Primary

Addresses

Primary practice location

18090 Mack Ave
Suite 4
Grosse Pointe, MI 48230-6251

Mailing address

25899 W 12 Mile Rd
Suite 190
Southfield, MI 48034-1800
Phone (248) 415-4471

National Provider Directory

National Provider Directory
Tax ID family
Scheerbert Psychological PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18090 Mack Ave
Ste 4
Grosse Pointe, MI 48230
Phone (248) 415-4471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494806400000",
    "number": "1174050751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25899 W 12 MILE RD",
            "address_2": "SUITE 190",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341800",
            "telephone_number": "248-415-4471",
            "fax_number": "248-809-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18090 MACK AVE",
            "address_2": "SUITE 4",
            "city": "GROSSE POINTE",
            "state": "MI",
            "postal_code": "482306251",
            "telephone_number": "248-415-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHEERBERT PSYCHOLOGICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-15",
        "last_updated": "2017-05-15",
        "status": "A",
        "authorized_official_last_name": "HULBERT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-415-4471",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301006332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.