Individual provider Active NPI

Michael Arthur Merz, PH.D.

  • Psychologist
  • Clinton TWP, MI
National Provider Identifier
1770733867
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
6301002092 Issued in MI
Practice address
15501 Metropolitan Pkwy
Suite107
Clinton TWP, MI 48036-1684
Phone
(586) 226-2822
Fax
(586) 226-2833
NPI assigned
Sep 24, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301002092 MI Primary

Addresses

Primary practice location

15501 Metropolitan Pkwy
Suite107
Clinton TWP, MI 48036-1684

Mailing address

15501 Metropolitan Pkwy
Suite107
Clinton TWP, MI 48036-1684
Phone (586) 226-2822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121008000231 MI Practitioner - Clinical Psychologist 1658520630 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Wellness PLCGroup PAC ID 6901130459, 5 clinicians

Practice addresses (Care Compare)

16931 19 Mile Rd
Suite 140
Clinton Township, MI 48038-4841
Phone (586) 226-2822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301002092MIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Wellness, PLC CurrentSince Aug 1, 2019 Accepting new patients

Locations

16931 19 Mile Rd
Ste 140
Clinton Twp, MI 48038
Phone (586) 226-2822

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.

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1770733867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "SUITE107",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-226-2822",
            "fax_number": "586-226-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15501 METROPOLITAN PKWY",
            "address_2": "SUITE107",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480361684",
            "telephone_number": "586-226-2822",
            "fax_number": "586-226-2833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERZ",
        "first_name": "MICHAEL",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301002092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.