Active NPI
Alyssa Van Der Merwe, PSYD
- Psychologist
- Harrison, NY
National Provider Identifier
1073129169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 023178
- Practice address
- 500 Mamaroneck Ave Ste 320
Harrison, NY 10528-1600 - Phone
- (914) 630-5560
- NPI assigned
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 023178 | NY | Primary |
Addresses
Primary practice location
500 Mamaroneck Ave Ste 320
Harrison, NY 10528-1600
Mailing address
500 Mamaroneck Ave Ste 320
Harrison, NY 10528-1600
Phone (914) 630-5560
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dr.vanderMerwe@VDMpsychology.com |
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 |
|---|---|---|---|
| 023178 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1073129169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MAMARONECK AVE STE 320",
"city": "HARRISON",
"state": "NY",
"postal_code": "105281600",
"telephone_number": "914-630-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MAMARONECK AVE STE 320",
"city": "HARRISON",
"state": "NY",
"postal_code": "105281600",
"telephone_number": "914-630-5560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN DER MERWE",
"first_name": "ALYSSA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-23",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "023178",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Dr.vanderMerwe@VDMpsychology.com",
"affiliation": "N",
"address_1": "500 Mamaroneck Ave Ste 320",
"city": "Harrison",
"state": "NY",
"country_code": "US",
"postal_code": "105281600",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Harrison, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.