Active NPI
William Frank Merkle, PH.D.
- Clinical Psychologist
- Las Vegas, NM
National Provider Identifier
1215910591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1105
- Practice address
- 3695 Hot Springs Blvd
Las Vegas, NM 87701-9549 - Phone
- (505) 454-2457
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1105 | NM | Primary |
| Clinical Psychologist | 103TC0700X | 1937 | CO |
Addresses
Primary practice location
3695 Hot Springs Blvd
Las Vegas, NM 87701-9549
Mailing address
1206 Hwy 94
Mora, NM 87732
Phone (505) 454-2457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07019276 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1105 | NM | MD | Professional Counselor |
| 1927 | CO | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1215910591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1206 HWY 94",
"city": "MORA",
"state": "NM",
"postal_code": "87732",
"telephone_number": "505-454-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3695 HOT SPRINGS BLVD",
"city": "LAS VEGAS",
"state": "NM",
"postal_code": "877019549",
"telephone_number": "505-454-2457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKLE",
"first_name": "WILLIAM",
"middle_name": "FRANK",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "1105",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "1937",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07019276",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.