Active NPI
Heather Mercer, PSYD, DRPH
- Health Service Psychologist
- Banning, CA
National Provider Identifier
1003921826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- RPS 2005222
- Practice address
- 11555 1/2 Potrero Rd
Banning, CA 92220-6946 - Phone
- (951) 849-4761
- NPI assigned
- Aug 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | RPS 2005222 | CA | Primary |
Addresses
Primary practice location
11555 1/2 Potrero Rd
Banning, CA 92220-6946
Mailing address
314 Grant St
Redlands, CA 92373-5119
Phone (909) 801-9359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPS 2005222 | CA | MD | Health Service Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003921826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "314 GRANT ST",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735119",
"telephone_number": "909-801-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 1/2 POTRERO RD",
"city": "BANNING",
"state": "CA",
"postal_code": "922206946",
"telephone_number": "951-849-4761"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "HEATHER",
"credential": "PSYD, DRPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "CA",
"license": "RPS 2005222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.