Bryce Merriman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

081880 Issued in NY

Practice address

2060 Centre Pointe Blvd
Suite #3
Saint Paul, MN 55120-1269

Phone

(651) 774-0011

Fax

(651) 774-0606

NPI assigned

Jul 8, 2014

Last updated

Jul 8, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404777600000",
    "number": "1710393012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 ZEALAND AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554283726",
            "telephone_number": "612-226-2617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 CENTRE POINTE BLVD",
            "address_2": "SUITE #3",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551201269",
            "telephone_number": "651-774-0011",
            "fax_number": "651-774-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "BRYCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-08",
        "last_updated": "2014-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "081880",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "AP14-1068",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merkaba Integrative Psychiatry
• Merriam Park Acupuncture
• Merriam Park Psychological Services, PA
• Maureen Merriam, CRNA
• Merrick Community Services
• Curtis R Merriman, RRT, RCP
• Janine Leigh Merriman, RPH
• Amy G Merritt, CRNA
• Christopher B Mertz, PSYD
• Christy Kay Mertz, RDN

• Clinical Social Worker in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; 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.