| Hermann Psychological Services Llc | |
|
1611 W Centre Ave Ste 212 Portage MI 49024-5344 | |
| (269) 220-1252 | |
| (269) 585-6255 |
| Full Name | Hermann Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1611 W Centre Ave Ste 212, Portage, Michigan |
| Authorized Official Name and Position | Karen Hermann (OWNER) |
| Authorized Official Contact | 2692201252 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hermann Psychological Services Llc 9677 Firefly Ave Galesburg MI 49053-9700 Ph: (269) 779-5630 | Hermann Psychological Services Llc 1611 W Centre Ave Ste 212 Portage MI 49024-5344 Ph: (269) 220-1252 |
| NPI Number | 1689347817 |
|---|---|
| Provider Enumeration Date | 07/25/2021 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Medicare PECOS PAC ID | 6103221106 |
|---|---|
| Medicare Enrollment ID | O20210827002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689347817 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karen S Hermann |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801817077 PECOS PAC ID: 9931131034 Enrollment ID: I20071116000608 |
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