Active NPI
Scheerbert Psychological, PLLC
- Clinical Psychologist
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6301006332
- Legal business name
- SCHEERBERT PSYCHOLOGICAL, PLLC
- Practice address
- 25899 W 12 Mile Rd
Suite 190
Southfield, MI 48034-1800 - Phone
- (248) 415-4471
- Fax
- (248) 809-6245
- NPI assigned
- Apr 19, 2007
- Last updated
- May 10, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Alan Hulbert, PH.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6301006332 | MI | Primary |
Addresses
Primary practice location
25899 W 12 Mile Rd
Suite 190
Southfield, MI 48034-1800
Mailing address
25899 W 12 Mile Rd
Suite 190
Southfield, MI 48034-1800
Phone (248) 415-4471
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Scheerbert Psychological PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinical Psychologist
- Grosse Pointe, MI
- NPI 1174050751
Locations
18090 Mack Ave
Ste 4
Grosse Pointe, MI 48230
Phone (248) 415-4471
25899 W 12 Mile Rd
Ste 1
Southfield, MI 48034
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Psychologist
- Southfield, MI
- NPI 1841273570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494374400000",
"number": "1225255771",
"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": "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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCHEERBERT PSYCHOLOGICAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-19",
"last_updated": "2017-05-10",
"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": "",
"desc": "Psychologist, Clinical",
"state": "MI",
"license": "6301006332",
"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 May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.