Organization Active NPI

Steven Mark Herman

  • Clinical Psychologist
  • Indianapolis, IN
National Provider Identifier
1538277934
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
20040762A Issued in IN
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

Updated by the provider on Jun 18, 2008

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., HSPPNPI 1548276496
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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
100380620BMedicaidIN
275322000OtherINMAGELLAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.