Individual provider Active NPI

Murray Harold Merner, PHD

  • Cognitive & Behavioral Psychologist
  • Greenville, NC
National Provider Identifier
1164665873
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
1419 Issued in NC
Practice address
626 Medical Dr
Greenville, NC 27834-7503
Phone
(252) 847-4357
Fax
(252) 847-7843
NPI assigned
Apr 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 1419 NC Primary

Addresses

Primary practice location

626 Medical Dr
Greenville, NC 27834-7503

Mailing address

2100 Statonsburg Boulevard
PO Box 6028
Greenville, NC 27835-6028
Phone (252) 847-4357

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1419NCMDHearing Instrument Specialist

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1164665873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 STATONSBURG BOULEVARD",
            "address_2": "PO BOX 6028",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278356028",
            "telephone_number": "252-847-4357",
            "fax_number": "252-847-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MEDICAL DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347503",
            "telephone_number": "252-847-4357",
            "fax_number": "252-847-7843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERNER",
        "first_name": "MURRAY",
        "middle_name": "HAROLD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NC",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.