Mark Merten, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071005424 Issued in IL

Practice address

3354 N Paulina St Ste 206F
Chicago, IL 60657-1087

Phone

(773) 502-1057

NPI assigned

May 19, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1710270053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 N MASON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463906",
            "telephone_number": "773-502-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3354 N PAULINA ST STE 206F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571087",
            "telephone_number": "773-502-1057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5110 N Damen Ave",
            "address_2": "Amundsen Health Center",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606251317",
            "country_code": "US",
            "telephone_number": "773-275-1358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERTEN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-19",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071005424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merry Family Home Healtcare Inc
• Evan Samuel Merryman, MD
• Marielle Mershart, LCSW
• Krista Mersino, LCSW
• Ismail Mert, MD
• Clarissa Mertens, D.D.S.
• Brandi Rose Mertig, M.S., CCC-SLP
• Colin Mervak, M.D.
• Mervin J. Weis & Bruce L. Ferguson MD, SC
• Merz Apothecary, Inc

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.