NPIMap

Organization Active NPI

Herrick Medical Center

  • Psychologist
  • Tecumseh, MI
National Provider Identifier
1568775708
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
HERRICK MEDICAL CENTER
Practice address
415 E Kilbuck St
Tecumseh, MI 49286-2073
Phone
(517) 423-3887
Fax
(517) 423-9433
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Bernard Nawrocki
Title
Admin Director Finance
Phone
(517) 265-0390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

415 E Kilbuck St
Tecumseh, MI 49286-2073

Mailing address

PO Box 548
Adrian, MI 49221-0548
Phone (517) 265-0229

Other names 1

  • HERRICK BEHAVIORAL HEALTH Other name

National Provider Directory

National Provider Directory
Tax ID family
Herrick Memorial Hosp5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1568775708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 548",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492210548",
            "telephone_number": "517-265-0229",
            "fax_number": "517-265-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 E KILBUCK ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862073",
            "telephone_number": "517-423-3887",
            "fax_number": "517-423-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRICK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "NAWROCKI",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_title_or_position": "ADMIN DIRECTOR FINANCE",
        "authorized_official_telephone_number": "517-265-0390"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERRICK BEHAVIORAL HEALTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tecumseh, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.