Hoberman Clinic

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6301002903 Issued in MI

Legal business name

HOBERMAN CLINIC

Practice address

1800 Grindley Park St
Suite 3
Dearborn, MI 48124-2553

Phone

(313) 277-1166

Fax

(313) 277-3414

NPI assigned

Jan 26, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Melvin Hoberman, MA, LLP, LCSW, CAACNPI 1497812523

Title

Owner

Phone

(313) 277-1166

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Melvin Hoberman I, MA,LLP,CSW,CAC 1

  • Addiction (Substance Use Disorder) Psychologist
  • W Bloomfield, MI
  • NPI 1497812523
  NPD (past) Authorized official

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1871864579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 GRINDLEY PARK ST",
            "address_2": "SUITE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242553",
            "telephone_number": "313-277-1166",
            "fax_number": "313-277-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 GRINDLEY PARK ST",
            "address_2": "SUITE 3",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481242553",
            "telephone_number": "313-277-1166",
            "fax_number": "313-277-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBERMAN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "HOBERMAN",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-277-1166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LLP, LCSW, CAAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6301002903",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6301002903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "195511",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007263796",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/BCN",
            "identifier": "0897467",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hnery Ford Behavioral Health- Westpark Center
• Alan Ho, CRNA
• Johnathan Kim Ho, M.D
• Reem R Hoballah
• Hoberman Clinic
• Danieha Hobson
• Angela Hodges
• Bassima Hodroj
• Loren J Hoffman, LMSW, LMFT
• Robert Hoffman, RPH

• Clinical Social Worker in Dearborn, MI
• Providers in Dearborn, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.