Active NPI
Steven Mark Herman
- Clinical Psychologist
- Indianapolis, IN
National Provider Identifier
1538277934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20040762A
- Legal business name
- STEVEN MARK HERMAN
- Practice address
- 1844 Century Way
Suite #1
Indianapolis, IN 46260-5558 - Phone
- (317) 334-1481
- Fax
- (317) 581-9017
- NPI assigned
- Aug 26, 2006
- 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
- Dr. Steven Mark Herman, PH.D., HSPP
- Title
- Sole Proprietor
- Phone
- (317) 334-1481
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 | 20040762A | IN | Primary |
Addresses
Primary practice location
1844 Century Way
Suite #1
Indianapolis, IN 46260-5558
Mailing address
1844 Century Way
Suite #1
Indianapolis, IN 46260-5558
Phone (317) 334-1481
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100380620B | Medicaid | IN | |
| 275322000 | Other | IN | MAGELLAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Indianapolis, IN
- NPI 1548276496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1538277934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1844 CENTURY WAY",
"address_2": "SUITE #1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605558",
"telephone_number": "317-334-1481",
"fax_number": "317-581-9017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1844 CENTURY WAY",
"address_2": "SUITE #1",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462605558",
"telephone_number": "317-334-1481",
"fax_number": "317-581-9017"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN MARK HERMAN",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-26",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "317-334-1481",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D., HSPP"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "IN",
"license": "20040762A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100380620B",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "275322000",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.