Susan Lloyd-Merrick PSYD LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20042376A Issued in IN

Legal business name

SUSAN LLOYD-MERRICK PSYD LLC

Practice address

336 Crooked Tree TRL
Deland, FL 32724-1371

Phone

(219) 218-5224

NPI assigned

May 28, 2010

Organization subpart

No

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

Authorized official

Name

Susan Marie Lloyd-Merrick, PSYD

Title

Psychologist

Phone

(219) 218-5224

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1023337086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 CROOKED TREE TRL",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327241371",
            "telephone_number": "219-218-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 CROOKED TREE TRL",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327241371",
            "telephone_number": "219-218-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN LLOYD-MERRICK PSYD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "LLOYD-MERRICK",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "219-218-5224",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20042376A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.