Phyllis Merriam, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LC11515 Issued in ME

Practice address

247 Commercial St
Rockport, ME 04856-5964

Phone

(207) 470-7090

Fax

(207) 470-7094

NPI assigned

Apr 23, 2009

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240444800000",
    "number": "1457595290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 MECHANIC ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048413514",
            "telephone_number": "207-594-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 COMMERCIAL ST",
            "city": "ROCKPORT",
            "state": "ME",
            "postal_code": "048565964",
            "telephone_number": "207-470-7090",
            "fax_number": "207-470-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIAM",
        "first_name": "PHYLLIS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2009-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC11515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Joseph McDowell
• Tonia McLaughlin
• Anna Parkhurst McLean, DO
• Dana Meixell, MD
• Melissa Park, MD Internal Medicine
• Robert N. Merrill, MD
• Jon Merritt
• Brenna Messier, PA-C
• Michael E. Marden, O.D.
• Chris John Michalakes, DO

• Mental Health Counselor in Rockport, ME
• Providers in Rockport, ME by specialty
• Mental Health Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2009; 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.