Individual provider Active NPI

Meryl Harmon Halem, LCSW, LMFT

  • Clinical Social Worker
  • Bayside, NY
National Provider Identifier
1265420863
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R033967 Issued in NY
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, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
000016-1NYMDPsychoanalyst
R033967NYMDClinical Social Worker
033967NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Karat Health, Inc. Past Accepting new patients
Samuel Field Ym&Ywha PastSince Feb 24, 1994 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.

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

Verify at the official NPI Registry.