Catherine L. Herzog, PH.D., PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6301008327 Issued in MI

Legal business name

CATHERINE L. HERZOG, PH.D., PLLC

Practice address

1370 N Oakland Blvd
Suite 100a
Waterford, MI 48327-4525

Phone

(248) 701-1093

Fax

(248) 886-1372

NPI assigned

Apr 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Catherine Lydia Herzog, PH.D.

Title

Owner/Ceo

Phone

(248) 701-1093

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1225394836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 N OAKLAND BLVD",
            "address_2": "SUITE 100A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483274525",
            "telephone_number": "248-701-1093",
            "fax_number": "248-886-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 N OAKLAND BLVD",
            "address_2": "SUITE 100A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483274525",
            "telephone_number": "248-701-1093",
            "fax_number": "248-886-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE L. HERZOG, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "HERZOG",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LYDIA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "248-701-1093",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MI",
            "license": "6301008327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Carrier
• Shamika E Carthane
• Ernesto Carulla, PT
• Case Management Servcies by Nicole Nowicki RN (Rehab Innovations Case Management)
• Lauren Marie Casper, LMT
• Catholic Charities of South Eastern Michigan
• Catholic Social Services of Oakland County
• Kathleen Marie Cavanaugh, MSW CADC M
• CCT Medical Supplies
• Gabrielle Ceruti

• Mental Health Clinic/Center (Including Community Mental Health Center) in Waterford, MI
• Providers in Waterford, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.