Active NPI
Nicole Reya Merrigan, MA, LPA
- Psychologist
- Wilmington, NC
National Provider Identifier
1528302825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4471
- Practice address
- 1606 Physicians Dr
Suite 104
Wilmington, NC 28401-7361 - Phone
- (910) 343-6890
- Fax
- (910) 332-1233
- NPI assigned
- Nov 27, 2012
- Last updated
- Jul 31, 2013
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4471 | NC | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 4471 | NC | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 4471 | NC | |
| Clinical Psychologist | 103TC0700X | 4471 | NC | |
| Health Service Psychologist | 103TH0100X | 4471 | NC | |
| Group Psychotherapy Psychologist | 103TP2701X | 4471 | NC |
Addresses
Primary practice location
1606 Physicians Dr
Suite 104
Wilmington, NC 28401-7361
Mailing address
1606 Physicians Dr
Suite 104
Wilmington, NC 28401-7361
Phone (910) 343-6890
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)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1528302825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 PHYSICIANS DR",
"address_2": "SUITE 104",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017361",
"telephone_number": "910-343-6890",
"fax_number": "910-332-1233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1606 PHYSICIANS DR",
"address_2": "SUITE 104",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017361",
"telephone_number": "910-343-6890",
"fax_number": "910-332-1233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIGAN",
"first_name": "NICOLE",
"middle_name": "REYA",
"credential": "MA, LPA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-27",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "4471",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "4471",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "NC",
"license": "4471",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NC",
"license": "4471",
"primary": false
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "NC",
"license": "4471",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "NC",
"license": "4471",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.