Individual provider Active NPI

Andrew Merling, PHD

  • Psychologist
  • New York, NY
National Provider Identifier
1407880495
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
013235 Issued in NY
Practice address
330 W 58TH St Apt 18F
New York, NY 10019-1844
Phone
(179) 882-4471
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 013235 NY Primary

Addresses

Primary practice location

330 W 58TH St Apt 18F
New York, NY 10019-1844

Mailing address

344 Montrose Ave Ste 18F
South Orange, NJ 07079-2439
Phone (917) 882-4471

Other identifiers 1

IdentifierTypeStateIssuer
01804911MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 24, 2023 through May 24, 2027

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
SLR Psychiatric Associates Past Accepting new patients

Organizations & group practices 1

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1407880495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 MONTROSE AVE STE 18F",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792439",
            "telephone_number": "917-882-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W 58TH ST APT 18F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191844",
            "telephone_number": "179-882-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLING",
        "first_name": "ANDREW",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "013235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804911",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.