Sage Aimee Mervis, CCC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

19845 Issued in CA

Practice address

1114 12TH St Apt 301
Santa Monica, CA 90403-5419

Phone

(818) 645-2682

NPI assigned

Jun 3, 2015

Last updated

Jun 3, 2015By the provider in NPPES

Sex

Female

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

State licenses

Practice roles

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.

• Sage Communication Clinic

  • Hearing and Speech Clinic/Center
  • Santa Monica, CA
  • NPI 1760022115
  NPD (past) Authorized official

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1295115301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 12TH ST APT 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035419",
            "telephone_number": "818-645-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 12TH ST APT 301",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904035419",
            "telephone_number": "818-645-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERVIS",
        "first_name": "SAGE",
        "middle_name": "AIMEE",
        "credential": "CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "19845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Marie Merrill
• Jennifer Robin Merritt, DDS
• Stacey Merritt, LVN
• Miramannee L. Merryman, PA
• Earl Anthony Mertz, PHARMD
• Robert H Merz, M.D.
• Bita Mesri, PHD
• Alex John Messina, MD
• Nicole Messuri, MA
• Metropolitan Heart Associates

• Speech-Language Pathologist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.