CATHERINE L. HERZOG, PH.D., PLLC (NPI# 1225394836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225394836 |
| Entity Type | Organization |
| Organization Name | CATHERINE L. HERZOG, PH.D., PLLC |
| Practice Address |
1370 N Oakland Blvd Suite 100a Waterford MI 48327-4525 |
| Practice Telephone | 2487011093 |
| Practice Fax Number | 2488861372 |
| Mailing Telephone | 2487011093 |
| Mailing Fax Number | 2488861372 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |
| Authorized Official Name | DR. CATHERINE LYDIA HERZOG (OWNER/CEO) |
| Authorized Official Telephone | 2487011093 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
6301008327 | MI | Ambulatory Health Care Facilities |
| Street Address |
1370 N OAKLAND BLVD SUITE 100A |
| City | WATERFORD |
| State | MI |
| Zip Code | 48327-4525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356452080 | A Home Nurse, LLC | Home Health | 1370 N Oakland Blvd, Suite 120, Waterford, MI 48327-4525 | 2006-08-31 |
| 1568900082 | Jessica Sue Malaney | Counselor | 1370 N Oakland Blvd, Suite 105, Waterford, MI 48327-4525 | 2017-02-03 |
| 1831565209 | Meghan Hardy | Counselor | 1370 N Oakland Blvd, Suite 105, Waterford, MI 48327-4525 | 2015-08-19 |
| 1962739565 | Kirsti Jane Reeve | Counselor | 1370 N Oakland Blvd, Suite 105, Waterford, MI 48327-4525 | 2009-11-03 |
| 1568797348 | Marilyn Barbara Goldman | Family Medicine | 1370 N Oakland Blvd, 1st Floor, Suite 120, Waterford, MI 48327-4525 | 2009-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418555 | Dental House - Waterford, Pllc | Clinic/Center | 5979 Highland Road, Waterford Twp, MI 48327 | 2020-02-10 |
| 1063924793 | Carolyn Mirretti | Social Worker | 7110 Round Hill Drive, Apt. A2, Waterford, MI 48327 | 2017-11-03 |
| 1972022358 | Mary Frances Halfpenny | Registered Nurse | 5741 Berkley Dr, Waterford, MI 48327 | 2017-09-17 |
| 1407377443 | Crystal Marie Degrandchamp | Counselor | 1370 N. Oakland Blvd., Suite 105, Waterford, MI 48327 | 2017-06-29 |
| 1366987489 | Graceful Living, Reinventing In-home Senior Care | Home Health | 6926 Highland Road, Suite 2, Waterford, MI 48327 | 2016-12-28 |
| 1134678378 | Jacqueline Bleisch | Home Health | 2440 Jones Rd., Waterford, MI 48327 | 2016-09-29 |
| 1033665385 | Charles Weems | Counselor | Meridian Health Services, 1255 N. Oakland Blvd., Waterford, MI 48327 | 2016-08-28 |
| 1124480777 | Raymond S Kanar | Counselor | 1255 North Oakland Blvd., Waterford, MI 48327 | 2016-03-23 |
| 1750765798 | Shatha Matti | Pharmacist | 7362 Highland Road, Waterford, MI 48327 | 2015-07-18 |
| 1548647233 | Oakland Physicians Medical Center LLC | Clinic/Center | 1035 N. Oakland Blvd., Waterford, MI 48327 | 2015-05-01 |
| Find all providers in zip 48327 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.