Merly Mathew, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1224 Issued in OK

Legal business name

MERLY MATHEW, LLC

Practice address

3035 NW 63Rd St
Suite 227
Oklahoma City, OK 73116-3631

Phone

(405) 242-6460

NPI assigned

Apr 1, 2016

Organization subpart

No

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

Authorized official

Name

Merly Mathew, PH.D.

Title

Psychologist

Phone

(405) 242-6460

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1760845218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST",
            "address_2": "SUITE 227",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163632",
            "telephone_number": "405-242-6460",
            "fax_number": "405-212-4463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 NW 63RD ST",
            "address_2": "SUITE 227",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731163631",
            "telephone_number": "405-242-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERLY MATHEW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "MATHEW",
        "authorized_official_first_name": "MERLY",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "405-242-6460",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "OK",
            "license": "1224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.