Active NPI
Edye N Merzer, PSY.D.
- Mental Health Counselor
- Brookline, MA
National Provider Identifier
1548472061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH-3267
- Practice address
- 1101 Beacon Street (Suite 7E)
Brookline, MA 02446-5587 - Phone
- (617) 566-8859
- Fax
- (617) 332-7612
- NPI assigned
- May 4, 2007
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH-3267 | MA | Primary |
Addresses
Primary practice location
1101 Beacon Street (Suite 7E)
Brookline, MA 02446-5587
Mailing address
46 White Pine Road
Newton Upper Falls, MA 02464-1223
Phone (617) 840-7564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0340 | Other | MA | BLUE CROSS BLUE SHIELD |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH-3267 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548472061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 WHITE PINE ROAD",
"city": "NEWTON UPPER FALLS",
"state": "MA",
"postal_code": "024641223",
"telephone_number": "617-840-7564",
"fax_number": "617-332-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 BEACON STREET (SUITE 7E)",
"city": "BROOKLINE",
"state": "MA",
"postal_code": "024465587",
"telephone_number": "617-566-8859",
"fax_number": "617-332-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERZER",
"first_name": "EDYE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "MH-3267",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0340",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookline, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.