Organization Active NPI

Edward L. Herman MD PC

  • Psychiatry Physician
  • Bloomfield Hills, MI
National Provider Identifier
1942432349
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
4301024095 Issued in MI
Legal business name
EDWARD L. HERMAN MD PC
Practice address
43996 Woodward Ave
Suite 210
Bloomfield Hills, MI 48302-5027
Phone
(248) 338-2497
Fax
(248) 332-4552
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Authorized official

Name
Dr. Edward Lee Herman, MD
Title
President
Phone
(248) 338-2497

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 4301024095 MI Primary

Addresses

Primary practice location

43996 Woodward Ave
Suite 210
Bloomfield Hills, MI 48302-5027

Mailing address

43996 Woodward Ave
Suite 210
Bloomfield Hills, MI 48302-5027
Phone (248) 338-2497

Other identifiers 1

IdentifierTypeStateIssuer
1066544-10MedicaidMI

National Provider Directory

National Provider Directory

Locations

43996 Woodward Ave
Ste 210
Bloomfld Hls, MI 48302
Phone (248) 338-2497

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1942432349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025027",
            "telephone_number": "248-338-2497",
            "fax_number": "248-332-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43996 WOODWARD AVE",
            "address_2": "SUITE 210",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025027",
            "telephone_number": "248-338-2497",
            "fax_number": "248-332-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L. HERMAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-338-2497",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301024095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066544-10",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.