Active NPI
Bevin Merles
- Clinical Psychologist
- Baltimore, MD
National Provider Identifier
1215353891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 05065
- Practice address
- 5820 York Rd
Suite T-300
Baltimore, MD 21212-3610 - Phone
- (410) 989-3899
- Fax
- (410) 777-8742
- NPI assigned
- Mar 6, 2014
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 05065 | MD | Primary |
Addresses
Primary practice location
5820 York Rd
Suite T-300
Baltimore, MD 21212-3610
Mailing address
5820 York Rd
Suite T-300
Baltimore, MD 21212-3610
Phone (410) 989-3899
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 |
|---|---|---|---|
| 05065 | MD | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1215353891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5820 YORK RD",
"address_2": "SUITE T-300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123610",
"telephone_number": "410-989-3899",
"fax_number": "410-777-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5820 YORK RD",
"address_2": "SUITE T-300",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212123610",
"telephone_number": "410-989-3899",
"fax_number": "410-777-8742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERLES",
"first_name": "BEVIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-06",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "05065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.