NPIMap

Organization Active NPI

Neil H Merkatz, M.D. PA

  • Psychiatry Physician
  • Port St Lucie, FL
National Provider Identifier
1508026477
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME 68994 Issued in FL
Legal business name
NEIL H MERKATZ, M.D. PA
Practice address
1701 SE Hillmoor Dr
Suite 17
Port St Lucie, FL 34952-7552
Phone
(772) 335-9808
Fax
(772) 335-9818
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Authorized official

Name
Ms. Mary-Jane Quick
Title
Billing Supervisor
Phone
(772) 384-1517

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X ME 68994 FL Primary
Child & Adolescent Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0804X ME 68994 FL

Addresses

Primary practice location

1701 SE Hillmoor Dr
Suite 17
Port St Lucie, FL 34952-7552

Mailing address

PO Box 2563
Glenville, NY 12325-0563
Phone (518) 384-1517

Other identifiers 1

IdentifierTypeStateIssuer
378915200MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300665600000",
    "number": "1508026477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2563",
            "city": "GLENVILLE",
            "state": "NY",
            "postal_code": "123250563",
            "telephone_number": "518-384-1517",
            "fax_number": "518-384-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "address_2": "SUITE 17",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-335-9808",
            "fax_number": "772-335-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL H MERKATZ, M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2011-03-21",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "MARY-JANE",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "772-384-1517",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME 68994",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "FL",
            "license": "ME 68994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "378915200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.