Merion Creek Mental Health Services, Inc.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS017064 Issued in PA

Legal business name

MERION CREEK MENTAL HEALTH SERVICES, INC.

Practice address

1 Center SQ
Suite 208
Hanover, PA 17331-3013

Phone

(855) 637-4662

NPI assigned

Feb 21, 2012

Last updated

Feb 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael Patrick Caiazzo, PSY.D.

Title

Ceo

Phone

(855) 637-4662

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1329782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329782400000",
    "number": "1902179989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CENTER SQ",
            "address_2": "SUITE 208",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313013",
            "telephone_number": "855-637-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CENTER SQ",
            "address_2": "SUITE 208",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173313013",
            "telephone_number": "855-637-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERION CREEK MENTAL HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-21",
        "last_updated": "2012-02-21",
        "status": "A",
        "authorized_official_last_name": "CAIAZZO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "855-637-4662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS017064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Hanover, PA
• Providers in Hanover, PA by specialty
• Psychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2012; 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.