Merton a Shill PHD, PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

6301003005 Issued in MI

Legal business name

MERTON A SHILL PHD, PLLC

Practice address

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

Phone

(734) 662-0294

NPI assigned

Apr 2, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Merton Anthony Shill, PHDNPI 1891875761

Title

President

Phone

(734) 662-0294

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 1

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

• Merton Anthony Shill, PH.D.

  • Psychoanalysis Psychologist
  • Ann Arbor, MI
  • NPI 1891875761
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1669715298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 BALDWIN AVE",
            "address_2": "SUITE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043523",
            "telephone_number": "734-662-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 BALDWIN AVE",
            "address_2": "SUITE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043523",
            "telephone_number": "734-662-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERTON A SHILL PHD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "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": "MI",
            "license": "6301003005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Merritt
• Cassandra Merriweather, LCSW
• Grace Mersino, MSW, LLMSW
• Lacey Renee Mersino, NP
• Haley Rose Mertens, MD
• Merton a. Shill, PHD., PC
• Benjamin Marcus Mervak, MD
• Julie Ellyn Mervak, MD
• Julie Clifford Merz, NP
• Lauren Merz, MD

• Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.