Active NPI
Aryeh Herman, PSY.D.
- Clinical Psychologist
- Waterbury, CT
National Provider Identifier
1194039255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 3075
- Practice address
- 1669 Thomaston Ave
Waterbury, CT 06704-1026 - Phone
- (203) 805-5300
- NPI assigned
- Aug 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3075 | CT | Primary |
| Clinical Psychologist | 103TC0700X | 018332-1 | NY |
Addresses
Primary practice location
1669 Thomaston Ave
Waterbury, CT 06704-1026
Mailing address
21 Hazel Ter
Woodbridge, CT 06525-2209
Phone (203) 848-7590
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018332-1 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1194039255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HAZEL TER",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252209",
"telephone_number": "203-848-7590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1669 THOMASTON AVE",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067041026",
"telephone_number": "203-805-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "ARYEH",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-01",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CT",
"license": "3075",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "018332-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.