Chester G. Merrill, C.A.S.A.C

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

24505 Issued in NY

Practice address

7 Seafield LN
Westhampton Beach, NY 11978-2714

Phone

(631) 288-1122

NPI assigned

Feb 7, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1780008052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 WEST ST",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SEAFIELD LN",
            "city": "WESTHAMPTON BEACH",
            "state": "NY",
            "postal_code": "119782714",
            "telephone_number": "631-288-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "CHESTER",
        "middle_name": "G.",
        "credential": "C.A.S.A.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-07",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "24505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.A.S.A.C",
            "identifier": "24505",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer McManus
• Ronni Beth McNeill, RN
• Kainat Meer, DO
• Aditi Mehta, DO
• Marc Jay Meltzer, M.D.
• Ryan James Mettes, L.AC, LMT
• Karen E Minunno, M ED
• Leigh Anne Montuori, MACCSLP
• More Than Skin Deep LLC
• Sandra Nasser, RN

• Addiction (Substance Use Disorder) Counselor in Westhampton Beach, NY
• Providers in Westhampton Beach, NY by specialty
• Addiction (Substance Use Disorder) Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.