Healthcare Provider Details

I. General information

NPI: 1649335266
Provider Name (Legal Business Name): MICHAEL CRAIG HERTS PSY.D., M.ED.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

372 MCLAWS CIRCLE SUITE 2
WILLIAMSBURG VA
23185
US

IV. Provider business mailing address

PO BOX 66043
HAMPTON VA
23665-6043
US

V. Phone/Fax

Practice location:
  • Phone: 757-564-3100
  • Fax:
Mailing address:
  • Phone: 757-268-4032
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10457
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810003643
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: