Active NPI
Meryl Harmon Halem, LCSW, LMFT
- Clinical Social Worker
- Bayside, NY
National Provider Identifier
1265420863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R033967
- Practice address
- 2391 Bell Blvd
Suite 202
Bayside, NY 11360-2019 - Phone
- (718) 423-0887
- Fax
- (516) 365-1315
- NPI assigned
- Oct 10, 2005
- Last updated
- Aug 4, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R033967 | NY | Primary |
| Marriage & Family Therapist | 106H00000X | 000016-1 | NY |
Addresses
Primary practice location
2391 Bell Blvd
Suite 202
Bayside, NY 11360-2019
Mailing address
2391 Bell Blvd
Suite 202
Bayside, NY 11360-2019
Phone (718) 423-0887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2017 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000016-1 | NY | MD | Psychoanalyst |
| R033967 | NY | MD | Clinical Social Worker |
| 033967 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karat Health, Inc. | Past | Accepting new patients | |
| Samuel Field Ym&Ywha | Past | Accepting new patients | |
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Behavioral Neurology & Neuropsychiatry Physician
- Long Island City, NY
- NPI 1093228801
-
- Adult Mental Health Clinic/Center
- Little Neck, NY
- NPI 1205862950
-
dba Cerebral Palsy of NYS
- Clinic/Center
- Woodside, NY
- NPI 1255496642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1265420863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2391 BELL BLVD",
"address_2": "SUITE 202",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602019",
"telephone_number": "718-423-0887",
"fax_number": "516-365-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2391 BELL BLVD",
"address_2": "SUITE 202",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113602019",
"telephone_number": "718-423-0887",
"fax_number": "516-365-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALEM",
"first_name": "MERYL",
"middle_name": "HARMON",
"name_prefix": "Ms.",
"credential": "LCSW, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-10",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R033967",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NY",
"license": "000016-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bayside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.