Active NPI
Suzanne R. Merlis, PSY. D.
- Clinical Psychologist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY002835
- Practice address
- 1827 Powers Ferry Rd SE
Building 22, Suite 200
Atlanta, GA 30339-5621 - Phone
- (770) 953-4744
- Fax
- (770) 953-4640
- NPI assigned
- Dec 27, 2006
- 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 | PSY002835 | GA | Primary |
Addresses
Primary practice location
1827 Powers Ferry Rd SE
Building 22, Suite 200
Atlanta, GA 30339-5621
Mailing address
1827 Powers Ferry Rd SE
Building 22, Suite 200
Atlanta, GA 30339-5621
Phone (770) 953-4744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
288 Walnut St
Suite 220
Newton, MA 02460-1994
Phone (617) 552-5116
714 Beacon St
Newton, MA 02459-1943
Phone (781) 551-0999
89 Access Rd
Suite 24
Norwood, MA 02062-5233
Phone (781) 551-0999
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child and Family Psychological Services, PLLC | Clinical | Current | Accepting new patients |
Locations
288 Walnut St
Ste 220
Newtonville, MA 02460
Phone (617) 552-5116
89 Access Rd
Ste 24
Norwood, MA 02062
Phone (781) 336-5040
195 Worcester St
Wellesley Hills, MA 02481
Phone (617) 219-1510
169 Libbey Park
Weymouth, MA 02189
Phone (508) 238-7766
Interoperability endpoints
- smerlis467717@direct.bilh.masshiway.net
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225193238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 POWERS FERRY RD SE",
"address_2": "BUILDING 22, SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395621",
"telephone_number": "770-953-4744",
"fax_number": "770-953-4640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 POWERS FERRY RD SE",
"address_2": "BUILDING 22, SUITE 200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395621",
"telephone_number": "770-953-4744",
"fax_number": "770-953-4640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERLIS",
"first_name": "SUZANNE",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "GA",
"license": "PSY002835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.