Organization Active NPI

Merton a. Shill, PHD., PC

  • Psychologist
  • Ann Arbor, MI
National Provider Identifier
1528232162
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
MERTON A. SHILL, PHD., PC
Practice address
924 Baldwin Ave
Suite 3
Ann Arbor, MI 48104-3523
Phone
(734) 662-0294
Fax
(734) 769-8066
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Merton Anthony Shill, PHD
Title
President
Phone
(734) 662-0294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

924 Baldwin Ave
Suite 3
Ann Arbor, MI 48104-3523

Mailing address

924 Baldwin Ave
Suite 3
Ann Arbor, MI 48104-3523
Phone (734) 662-0294

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1528232162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 BALDWIN AVE",
            "address_2": "SUITE 3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043523",
            "telephone_number": "734-662-0294",
            "fax_number": "734-769-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 BALDWIN AVE",
            "address_2": "SUITE 3",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043523",
            "telephone_number": "734-662-0294",
            "fax_number": "734-769-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERTON A. SHILL, PHD., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "SHILL",
        "authorized_official_first_name": "MERTON",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-662-0294",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.