Shirley Gay Merritt, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

H4553 Issued in TX

Practice address

14142 Ivy Bluff Court
Houston, TX 77062

Phone

(830) 455-4464

Fax

(830) 755-4684

NPI assigned

Jun 28, 2006

Last updated

Nov 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Shirley Clark Merritt Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Dr. Shirley Gay Merritt

  • Specialist
  • San Antonio, TX
  • NPI 1245411198
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415059200000",
    "number": "1952339269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14142 IVY BLUFF COURT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77062",
            "telephone_number": "830-755-4464",
            "fax_number": "830-755-4684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14142 IVY BLUFF COURT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77062",
            "telephone_number": "830-455-4464",
            "fax_number": "830-755-4684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "SHIRLEY",
        "middle_name": "GAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "H4553",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "H4553",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2013-00913",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "0A3545",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRLEY",
            "last_name": "MERRITT",
            "middle_name": "CLARK",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Breona Michelle Merritt, LMSW
• Brian Yang Merritt, M.D.
• Jantraveus Merritt, DMD
• Jasmine Merritt
• Ruth Martinez Merritt, CRNA
• Monika Merryman
• Jason Mersek
• Justin David Merszei, MD
• Jacob Mertens
• Briana Mertus

• Psychiatry Physician in Houston, TX
• Providers in Houston, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.