Active NPI
Donald E. Merriman Jr., PH.D.
- Psychologist
- Pleasantville, NY
National Provider Identifier
1659654341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 019642
- Practice address
- 351 Manville Rd
Suite 101
Pleasantville, NY 10570-2152 - Phone
- (845) 260-1292
- NPI assigned
- Sep 20, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 019642 | NY | Primary |
Addresses
Primary practice location
351 Manville Rd
Suite 101
Pleasantville, NY 10570-2152
Mailing address
2 Lilac LN
Fishkill, NY 12524-2746
Phone (845) 260-1292
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019642 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merriman Psychological Services, PLLC | Current | 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.
-
- Adolescent and Children Mental Health Clinic/Center
- Pleasantville, NY
- NPI 1043080682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342656000000",
"number": "1659654341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 LILAC LN",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125242746",
"telephone_number": "845-260-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 MANVILLE RD",
"address_2": "SUITE 101",
"city": "PLEASANTVILLE",
"state": "NY",
"postal_code": "105702152",
"telephone_number": "845-260-1292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIMAN",
"first_name": "DONALD",
"middle_name": "E.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-20",
"last_updated": "2012-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "019642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasantville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.