David Herl, EDD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2602 Issued in OH

Practice address

2677 Cleveland Avenue NW
Canton, OH 44709-3393

Phone

(330) 966-8086

Fax

(330) 966-8086

NPI assigned

May 12, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1210550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1245407055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36523",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447356523",
            "telephone_number": "330-966-8086",
            "fax_number": "330-966-8086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 CLEVELAND AVENUE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447093393",
            "telephone_number": "330-966-8086",
            "fax_number": "330-966-8086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "EDD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-12",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2602",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "212",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Hensley
• Craig J Henzel, D.D.S.
• Christopher Herberghs
• Kathi Herberghs, BA, CWIC
• Heritage HHC (Abg), LLC
• Andrew Herman, MD
• Edward Herman, LSW
• Nicole Herndon
• Katrena Herring
• Kenneth Ray Herring Jr.

• Clinical Psychologist in Canton, OH
• Providers in Canton, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.