Melvin Hoberman I, MA,LLP,CSW,CAC 1

Primary specialty

Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X

License

1-00252 Issued in MI

Practice address

6394 Rose Blvd
W Bloomfield, MI 48322-2290

Phone

(248) 539-3228

NPI assigned

Jan 1, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hoberman Clinic

  • Clinical Social Worker
  • Dearborn, MI
  • NPI 1871864579
  NPD (past) Authorized official
• Testing and Treatment Services of Michigan

  • Exclusive Provider Organization
  • Dearborn, MI
  • NPI 1720360456
  NPD (past) Authorized official

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

{
    "created_epoch": "1167609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458259200000",
    "number": "1497812523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6394 ROSE BLVD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222290",
            "telephone_number": "248-539-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6394 ROSE BLVD",
            "city": "W BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222290",
            "telephone_number": "248-539-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBERMAN",
        "first_name": "MELVIN",
        "name_suffix": "I",
        "credential": "MA,LLP,CSW,CAC 1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-01",
        "last_updated": "2016-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "1-00252",
            "primary": true
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "MI",
            "license": "6301002903",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO.",
            "identifier": "6801011116",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Healthy Living Internal Medicine PLLC
• Healthy Urgent Care
• Helpquest
• Henry Ford Health System (Maplegrove Center)
• Henry Ford W Bloomfiled Pharmacy
• Holistic Healing Centers of Michigan Inc.
• David Horowitz, RPH
• Fariha Hussain
• Imid Consultants PC
• Jessica Erin-Gershonowicz Jacobs, MSW

• Addiction (Substance Use Disorder) Psychologist in W Bloomfield, MI
• Providers in W Bloomfield, MI by specialty
• Addiction (Substance Use Disorder) Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.