Organization Active NPI

Merry Mind Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Paoli, PA
National Provider Identifier
1356177612
Registry record updated Nov 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MERRY MIND WELLNESS, LLC
Practice address
53 Darby Rd Ste Z
Paoli, PA 19301-1472
Phone
(201) 657-0127
NPI assigned
Sep 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2024

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

Authorized official

Name
Ms. Meredith Leigh McPherson, CRNP, PMHNP-BCNPI 1679342638
Title
Owner
Phone
(610) 500-6355

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

53 Darby Rd Ste Z
Paoli, PA 19301-1472

Mailing address

53 Darby Rd Ste Z
Paoli, PA 19301-1472
Phone (610) 500-6355

National Provider Directory

National Provider Directory

Locations

53 Darby Rd
Ste Z
Paoli, PA 19301
Phone (201) 657-0127

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732752000000",
    "number": "1356177612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 DARBY RD STE Z",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011472",
            "telephone_number": "610-500-6355",
            "fax_number": "252-300-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 DARBY RD STE Z",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011472",
            "telephone_number": "201-657-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRY MIND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-11-28",
        "certification_date": "2024-11-09",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-500-6355",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRNP, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2024; 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.