Carrie Mereness

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

BA-0239 Issued in AZ

Practice address

51 E Monterey Way
Phoenix, AZ 85012-2616

Phone

(602) 237-6653

NPI assigned

Sep 16, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arcadia Behavior Consulting LLC

  • Behavior Analyst
  • Phoenix, AZ
  • NPI 1558103879
  NPD
• Young Mind Center, Inc.

  • Pediatrics Physician
  • Phoenix, AZ
  • NPI 1346707486
  NPD (past)
• Young Mind Center, Inc.

  • Clinical Psychologist
  • Phoenix, AZ
  • NPI 1942509799
  NPD (past)

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

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1215485453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E MONTEREY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E MONTEREY WAY",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122616",
            "telephone_number": "602-237-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERENESS",
        "first_name": "CARRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "AZ",
            "license": "BA-0239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Favor and Grace Social Services (Mercy Favor and Grace Residential Home)
• Mercy Then Grace LLC
• Meredith Hurt
• Brem Meredith, APRN, FNP-BC
• Keith S. Meredith, M.D.
• Selena Mergendahl
• Brad K. Merhege, P.T.
• Melissa Sue Mericle, FNP
• Jasmin Graciela Merida, OT
• Christina Michelle Meridew, PHARMD

• Behavior Analyst in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Behavior Analyst in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; 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.