DR. MICHAEL JOHN HERKOV PH.D. NPI 1346459625

NPI Information

  • NPI: 1346459625
  • Provider Name: DR. MICHAEL JOHN HERKOV, PH.D.
  • Classification: Psychologist - 103TP2701X
  • Specialization: Group Psychotherapy
  • Entity Type: Individual
  • Address: 11512 LAKE MEAD AVE
    SUITE 301
    JACKSONVILLE, FL
    ZIP 32256
  • Phone: (904) 645-0114

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NPI Details

DR. Michael John Herkov, PH.D. is a group psychotherapy psychologist in Jacksonville, FL. The provider is a psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings. 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 9/11/2025.

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
1103G00000XClinical NeuropsychologistPY4681FLORIDANo
2103T00000XPsychologistPY4681FLORIDANo
3103TA0400XPsychologistAddiction (Substance Use Disorder)PY4681FLORIDANo
4103TA0700XPsychologistAdult Development & AgingPY4681FLORIDANo
5103TB0200XPsychologistCognitive & BehavioralPY4681FLORIDANo
6103TC0700XPsychologistClinicalPY4681FLORIDANo
7103TC2200XPsychologistClinical Child & AdolescentPY4681FLORIDANo
8103TF0000XPsychologistFamilyPY4681FLORIDANo
9103TF0200XPsychologistForensicPY4681FLORIDANo
10103TP2701XPsychologistGroup PsychotherapyPY4681FLORIDAYes

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: 11/21/2025

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