Active NPI
Ionela Herman, TLLP
- Psychologist
- Plymouth, MI
National Provider Identifier
1770862781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301014876
- Practice address
- 41550 E Ann Arbor TRL
Plymouth, MI 48170-4308 - Phone
- (517) 263-5810
- NPI assigned
- Aug 8, 2011
- Last updated
- Aug 8, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301014876 | MI | Primary |
Addresses
Primary practice location
41550 E Ann Arbor TRL
Plymouth, MI 48170-4308
Mailing address
955 Marshall Lakes Dr
Dexter, MI 48130-8410
Phone (734) 730-5151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301014876 | MI | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1770862781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 MARSHALL LAKES DR",
"city": "DEXTER",
"state": "MI",
"postal_code": "481308410",
"telephone_number": "734-730-5151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41550 E ANN ARBOR TRL",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704308",
"telephone_number": "517-263-5810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "IONELA",
"name_prefix": "Mrs.",
"credential": "TLLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301014876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.