Active NPI
Merry Mind Wellness, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Paoli, PA
National Provider Identifier
1356177612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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-BC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Paoli, PA
- NPI 1679342638
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.