Active NPI
Megan Mericle, PSY.D.
- Clinical Psychologist
- Avon, OH
National Provider Identifier
1790042489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 071.008328
- Practice address
- 39024 Curlwood CT
Avon, OH 44011-5734 - Phone
- (440) 670-2577
- NPI assigned
- Apr 18, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 071.008328 | IL | |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 6897 | OH | |
| Adult Development & Aging Psychologist | 103TA0700X | 071.008328 | IL | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 071.008328 | IL | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 6897 | OH | |
| Clinical Psychologist | 103TC0700X | 071.008328 | IL | Primary |
| Clinical Psychologist | 103TC0700X | 6897 | OH | |
| Counseling Psychologist | 103TC1900X | 071.008328 | IL | |
| Counseling Psychologist | 103TC1900X | 6897 | OH | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 071.008328 | IL | |
| Family Psychologist | 103TF0000X | 071.008328 | IL | |
| Forensic Psychologist | 103TF0200X | 071.008328 | IL | |
| Forensic Psychologist | 103TF0200X | 6897 | OH | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 071.008328 | IL | |
| Group Psychotherapy Psychologist | 103TP2701X | 071.008328 | IL |
Addresses
Primary practice location
39024 Curlwood CT
Avon, OH 44011-5734
Mailing address
39024 Curlwood CT
Avon, OH 44011-5734
Phone (440) 670-2577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6897 | OH | MD | Addiction (Substance Use Disorder) Psychologist |
| 071.008328 | IL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1790042489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39024 CURLWOOD CT",
"city": "AVON",
"state": "OH",
"postal_code": "440115734",
"telephone_number": "440-670-2577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39024 CURLWOOD CT",
"city": "AVON",
"state": "OH",
"postal_code": "440115734",
"telephone_number": "440-670-2577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERICLE",
"first_name": "MEGAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-18",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "IL",
"license": "071.008328",
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "6897",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "IL",
"license": "071.008328",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "IL",
"license": "071.008328",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OH",
"license": "6897",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "IL",
"license": "071.008328",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6897",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "IL",
"license": "071.008328",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OH",
"license": "6897",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "IL",
"license": "071.008328",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "IL",
"license": "071.008328",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "IL",
"license": "071.008328",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "OH",
"license": "6897",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "IL",
"license": "071.008328",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "IL",
"license": "071.008328",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.