Merton Anthony Shill, PH.D.

Primary specialty

Psychoanalysis PsychologistTaxonomy code 103TP0814X

License

6301003005 Issued in MI

Practice address

924 Baldwin Ave
Suite C
Ann Arbor, MI 48104-3523

Phone

(734) 662-0294

Fax

(734) 769-8066

NPI assigned

Oct 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

Specialty

Clinical Psychologist

Education

Other, 1978

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Merton a Shill PHD, PLLC

  • Psychologist
  • Ann Arbor, MI
  • NPI 1669715298
  Medicare reassignment NPD Authorized official
• Merton a. Shill, PHD., PC

  • Psychologist
  • Ann Arbor, MI
  • NPI 1528232162
  Authorized official Same address or phone
• Bio Psycho Social Holistic Mental Health Staffing, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brighton, MI
  • NPI 1053089193
  NPD

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891875761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 BALDWIN AVE",
            "address_2": "SUITE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043523",
            "telephone_number": "734-662-0294",
            "fax_number": "734-769-8066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 BALDWIN AVE",
            "address_2": "SUITE C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481043523",
            "telephone_number": "734-662-0294",
            "fax_number": "734-769-8066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILL",
        "first_name": "MERTON",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP0814X",
            "taxonomy_group": "",
            "desc": "Psychologist, Psychoanalysis",
            "state": "MI",
            "license": "6301003005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER ID.",
            "identifier": "680H113140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Joseph Shields, MD
• Jennifer Joan Shifferd, MSPT, CLT, WCS
• Jordan Rachel Shifman, NP
• Kendra K Shih, MD
• Sabrina Shih, MD
• Shiloh Hill Counseling LLC
• Sarah Shimizu
• Kayla Marie Shimko, OTRL
• Stacey Anne Shimones, NNP-BC
• Leslie Ann Shimp, PHARMD

• Psychoanalysis Psychologist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Psychoanalysis Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.