Individual provider Active NPI

Mercy Chieza, PSY.D

  • Psychologist
  • Waco, TX
National Provider Identifier
1043353758
Registry record updated Jul 8, 2007
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Sep 20, 2010.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
25456 Issued in TX
Practice address
6515 Sanger Ave
Suite 2
Waco, TX 76710-7813
Phone
(254) 741-6004
Fax
(254) 741-6009
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 25456 TX Primary

Addresses

Primary practice location

6515 Sanger Ave
Suite 2
Waco, TX 76710-7813

Mailing address

6515 Sanger Ave
Suite 2
Waco, TX 76710-7813
Phone (254) 741-6004

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043353758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 SANGER AVE",
            "address_2": "SUITE 2",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107813",
            "telephone_number": "254-741-6004",
            "fax_number": "254-741-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 SANGER AVE",
            "address_2": "SUITE 2",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767107813",
            "telephone_number": "254-741-6004",
            "fax_number": "254-741-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEZA",
        "first_name": "MERCY",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "25456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.