Organization Active NPI

Merriman Psychological Services, PLLC

  • Adolescent and Children Mental Health Clinic/Center
  • Pleasantville, NY
National Provider Identifier
1043080682
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
MERRIMAN PSYCHOLOGICAL SERVICES, PLLC
Practice address
351 Manville Rd Ste 105
Pleasantville, NY 10570-2166
Phone
(914) 919-9309
NPI assigned
Jan 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Dr. Donald E Merriman Jr., PH.D.NPI 1659654341
Title
Director
Phone
(914) 919-9309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

351 Manville Rd Ste 105
Pleasantville, NY 10570-2166

Mailing address

224 Briarwood Dr
Somers, NY 10589-1810
Phone (845) 260-1292

Other practice location 1

10 McMahon Pl
Mahopac, NY 10541-1700
Phone (914) 919-9309

National Provider Directory

National Provider Directory

Locations

10 McMahon Pl
Mahopac, NY 10541
Phone (845) 621-8502

351 Manville Rd
Ste 105
Pleasantville, NY 10570
Phone (516) 808-0650

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1043080682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 BRIARWOOD DR",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105891810",
            "telephone_number": "845-260-1292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 MANVILLE RD STE 105",
            "city": "PLEASANTVILLE",
            "state": "NY",
            "postal_code": "105702166",
            "telephone_number": "914-919-9309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 McMahon Pl",
            "address_purpose": "LOCATION",
            "city": "Mahopac",
            "state": "NY",
            "postal_code": "105411700",
            "country_code": "US",
            "telephone_number": "914-919-9309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERRIMAN PSYCHOLOGICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "914-919-9309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.