Gary B. Mesibov, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

470 Issued in NC

Practice address

Division Teacch CB 7180 University of North Carolina
Chapel Hill, NC 27599-7180

Phone

(919) 966-8189

Fax

(919) 966-4127

NPI assigned

Mar 24, 2007

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225155088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710A GREENWOOD RD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145923",
            "telephone_number": "919-966-8189",
            "fax_number": "919-966-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DIVISION TEACCH CB 7180 UNIVERSITY OF NORTH CAROLINA",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997180",
            "telephone_number": "919-966-8189",
            "fax_number": "919-966-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESIBOV",
        "first_name": "GARY",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon P. Merrill, MA
• Alice Brame Merritt, MPH, RD, LDN
• Bradley Merritt, M.D.
• Kathy A Merritt, MD
• Martha Meshesha
• Samantha Bryce Messamer, PA
• Stephen C Messer, PH.D.
• Mark Andrew Messick, M.D.
• Metamorphosis Healthcare Group LLC
• Christopher Metcalf, MD

• Psychologist in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.