Individual provider Active NPI

Karen M Merkel, PH.D.

  • Clinical Psychologist
  • New Haven, CT
National Provider Identifier
1295335578
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
003837 Issued in CT
Practice address
1440 Whalley Ave
New Haven, CT 06515-1144
Phone
(203) 389-5599
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 003837 CT Primary

Addresses

Primary practice location

1440 Whalley Ave
New Haven, CT 06515-1144

Mailing address

51 Alston Ave
New Haven, CT 06515-2702
Phone (713) 828-5814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210114002027 CT Practitioner - Clinical Psychologist 3375956287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Service of New Haven Inc.Group PAC ID 2365346806, 5 clinicians

Practice addresses (Care Compare)

1440 Whalley Ave
New Haven, CT 06515-1144
Phone (203) 389-5599

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
003837CTMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of New Haven Inc. CurrentSince Nov 8, 2020 Accepting new patients
Jewish Family Service of New Haven Inc PastSince Nov 1, 2020 Accepting new patients

Locations

1440 Whalley Ave
New Haven, CT 06515
Phone (203) 389-5599

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/jfsnh/r4/

Organizations & group practices 2

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1295335578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ALSTON AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065152702",
            "telephone_number": "713-828-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 WHALLEY AVE",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151144",
            "telephone_number": "203-389-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKEL",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CT",
            "license": "003837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.