IndividualActive
Michael Herkov, PH.D.
NPI 1346459625 · Group Psychotherapy Psychologist · Jacksonville, FL
Provider details
- NPI number
- 1346459625
- Entity type
- Individual
- Primary specialty
- Group Psychotherapy PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- PY4681 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Cognitive & Behavioral Psychologist103TB0200X
Practice location
11512 Lake Mead Ave
Suite 301
Jacksonville, FL 32256
Phone: (904) 645-0114
Fax: (904) 645-0115
Approximate (ZIP-level) locationGet directions
Mailing address
11512 Lake Mead Ave
Jacksonville, FL 32256
Registry dates
- Enumerated
- 2007-05-22
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.