Active NPI
Zonda Jeanne Mercer, M.D.
- Professional Counselor
- Somerville, MA
National Provider Identifier
1487751418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 31932
- Practice address
- 1234 Broadway
Somerville, MA 02144-1703 - Phone
- (617) 547-3947
- NPI assigned
- Sep 20, 2006
- Last updated
- Jun 30, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 31932 | MA | Primary |
Addresses
Primary practice location
1234 Broadway
Somerville, MA 02144-1703
Mailing address
47 Cogswell Ave
Apt 21
Cambridge, MA 02140-2045
Phone (617) 547-3947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| B11453 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050420000727 | MA | Practitioner - Psychiatry | 2769420744 | Practice locations: Somerville, MA |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York Downstate Medical Center, 1968
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1234 Broadway
Somerville, MA 02144-1703
Phone (617) 547-3947
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thelm, Inc. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Somerville, MA
- NPI 1982915591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467244800000",
"number": "1487751418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 COGSWELL AVE",
"address_2": "APT 21",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021402045",
"telephone_number": "617-547-3947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 BROADWAY",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021441703",
"telephone_number": "617-547-3947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCER",
"first_name": "ZONDA",
"middle_name": "JEANNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2016-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MA",
"license": "31932",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "B11453",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.