Michael a Herships Psychologist, PC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

008936 Issued in NY

Legal business name

MICHAEL A HERSHIPS PSYCHOLOGIST, PC

Doing business as

Michael Herships, PhD

Practice address

222 E Middle Country Rd Ste 210
Smithtown, NY 11787-2814

Phone

(631) 361-9338

Fax

(631) 653-1440

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Michael Herships, PHDNPI 1740378520

Title

Ceo

Phone

(631) 361-9338

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michael Herships, PhD Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Michael Herships, PH.D.

  • Clinical Psychologist
  • Smithtown, NY
  • NPI 1740378520
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1578075040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E MIDDLE COUNTRY RD STE 210",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872814",
            "telephone_number": "631-361-9338",
            "fax_number": "631-653-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E MIDDLE COUNTRY RD STE 210",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872814",
            "telephone_number": "631-361-9338",
            "fax_number": "631-653-1440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "PO Box 1033",
            "address_purpose": "LOCATION",
            "city": "Quogue",
            "state": "NY",
            "postal_code": "119591033",
            "country_code": "US",
            "telephone_number": "631-361-9338",
            "fax_number": "631-653-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL A HERSHIPS PSYCHOLOGIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HERSHIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-361-9338",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NY",
            "license": "008936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01103433",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael Herships, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cristina Michelcic, SPECIAL ED TEACHER

• Mental Health Clinic/Center (Including Community Mental Health Center) in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.