Organization Active NPI

Michael Mercatoris PH.D. & Associates P.C.

  • Psychiatry Physician
  • Meadville, PA
National Provider Identifier
1013080803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MICHAEL MERCATORIS PH.D. & ASSOCIATES P.C.
Practice address
462 Chestnut St
Meadville, PA 16335-4403
Phone
(814) 336-6308
Fax
(814) 337-6067
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Mercatoris, PH.D.
Title
President
Phone
(814) 336-6308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

462 Chestnut St
Meadville, PA 16335-4403

Mailing address

462 Chestnut St
Meadville, PA 16335-4403
Phone (814) 336-6308

Other identifiers 1

IdentifierTypeStateIssuer
1438304OtherPAHIGHMARK

National Provider Directory

National Provider Directory
Tax ID family
Michael Mercatoris PHD Associates PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

462 Chestnut St
Meadville, PA 16335
Phone (814) 336-6308

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013080803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354403",
            "telephone_number": "814-336-6308",
            "fax_number": "814-337-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 CHESTNUT ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163354403",
            "telephone_number": "814-336-6308",
            "fax_number": "814-337-6067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MERCATORIS PH.D. & ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCATORIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-336-6308",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1438304",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Meadville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.