Active NPI
Paul Mermin, PH.D.
- Clinical Psychologist
- Raleigh, NC
National Provider Identifier
1497761902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1086
- Practice address
- 820 S Boylan Ave
Dorothea Dix Hospital 3601 MSC Center
Raleigh, NC 27699-3601 - Phone
- (919) 733-5344
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1086 | NC | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 1086 | NC |
Addresses
Primary practice location
820 S Boylan Ave
Dorothea Dix Hospital 3601 MSC Center
Raleigh, NC 27699-3601
Mailing address
403 Parkside Cir
Chapel Hill, NC 27516-9179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1086 | NC | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Carolina at Chapel Hill | Clinical | 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.
-
- Anesthesiology Physician
- Chapel Hill, NC
- NPI 1780669200
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1497761902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 PARKSIDE CIR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275169179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "820 S BOYLAN AVE",
"address_2": "DOROTHEA DIX HOSPITAL 3601 MSC CENTER",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276993601",
"telephone_number": "919-733-5344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERMIN",
"first_name": "PAUL",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "1086",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NC",
"license": "1086",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.