DR. MICHAEL JOHN HERKOV PH.D. NPI 1346459625

NPI Information

NPI: 1346459625
Provider Name: DR. MICHAEL JOHN HERKOV, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
11512 LAKE MEAD AVE
SUITE 301
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 645-0114
Get Directions

DR. Michael John Herkov, PH.D. is a clinical neuropsychologist in Jacksonville, FL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Michael John Herkov, PH.D. NPI is 1346459625. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

11512 LAKE MEAD AVE
SUITE 301
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 645-0114
Fax: (904) 645-0115

The enumeration date for this NPI number is 5/22/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		PY4681	FLORIDA	Yes
2	103T00000X	Psychologist		PY4681	FLORIDA	X
3	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	PY4681	FLORIDA	X
4	103TA0700X	Psychologist	Adult Development & Aging	PY4681	FLORIDA	X
5	103TB0200X	Psychologist	Cognitive & Behavioral	PY4681	FLORIDA	X
6	103TC0700X	Psychologist	Clinical	PY4681	FLORIDA	X
7	103TC2200X	Psychologist	Clinical Child & Adolescent	PY4681	FLORIDA	X
8	103TF0000X	Psychologist	Family	PY4681	FLORIDA	X
9	103TF0200X	Psychologist	Forensic	PY4681	FLORIDA	X
10	103TP2701X	Psychologist	Group Psychotherapy	PY4681	FLORIDA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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